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一组维持性血液透析患者恶心和呕吐的发生率及严重程度。

Incidence and severity of nausea and vomiting in a group of maintenance hemodialysis patients.

作者信息

Asgari Mohammad Reza, Asghari Fatemeh, Ghods Ali Asghar, Ghorbani Raheb, Hoshmand Motlagh Nahid, Rahaei Fatemeh

机构信息

Nursing Care Research Center, Department of Medical-Surgical Nursing, Faculty of Nursing and Allied Health, Semnan University of Medical Sciences, Semnan, Iran.

Student Research Committee, Faculty of Nursing, Semnan University of Medical Sciences, Semnan, Iran.

出版信息

J Renal Inj Prev. 2016 Sep 3;6(1):49-55. doi: 10.15171/jrip.2017.09. eCollection 2017.

Abstract

Chronic kidney disease (CKD) is a rising problem across the world, including Iran. Most of the patients will require hemodialysis for survival. Despite the great progress has been made in the hemodialysis equipment, but it is still associated with complications. Nausea and vomiting are common complication of during hemodialysis, which leads to unpleasant feeling in patients. This study aimed to determine incidence and severity of nausea and vomiting in a group of maintenance hemodialysis patients. This is a descriptive and analytical study on 60 hemodialysis patients of dialysis wards in Semnan University of Medical Sciences. Verbal Numeric Rating Scale (VNRS) and Korttila vomiting severity scale were used to measure the severity of nausea and vomiting during hemodialysis respectively. In this study, the incidence of nausea and vomiting during hemodialysis were 28.3% and 11.7%, respectively. Meanwhile, the mean severity of nausea was 1.15 and the mean rank of vomiting was 2.08. The results of the study showed a relatively high incidence of nausea and vomiting in patients undergoing hemodialysis, hence nurses must consider these problems by suitable measures to prevent the occurrence of the these unpleasant feelings in the patients during hemodialysis.

摘要

慢性肾脏病(CKD)在包括伊朗在内的全球范围内都是一个日益严重的问题。大多数患者需要进行血液透析以维持生命。尽管血液透析设备已经取得了巨大进展,但它仍然存在并发症。恶心和呕吐是血液透析期间常见的并发症,会给患者带来不适。本研究旨在确定一组维持性血液透析患者中恶心和呕吐的发生率及严重程度。这是一项针对塞尔柱医科大学透析病房60名血液透析患者的描述性和分析性研究。分别使用言语数字评定量表(VNRS)和科尔蒂拉呕吐严重程度量表来测量血液透析期间恶心和呕吐的严重程度。在本研究中,血液透析期间恶心和呕吐的发生率分别为28.3%和11.7%。同时,恶心的平均严重程度为1.15,呕吐的平均等级为2.08。研究结果表明,接受血液透析的患者中恶心和呕吐的发生率相对较高,因此护士必须采取适当措施来考虑这些问题,以防止患者在血液透析期间出现这些不适感受。

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