整体护理在血液透析相关营养不良尿毒症患者中的应用
Application of Holistic Nursing in Uremic Patients with Hematodialysis Related Malnutrition.
作者信息
Zhang Huifang, Lin Chongting, Yuan Songbo, Wang Qinghua, Yang Jiangcheng
机构信息
Hemodialysis Room, Yantaishan Hospital, Yantai, Shandong, China.
Administrative Office, Binzhou Medical University, Yantai, Shandong, China.
出版信息
Iran J Public Health. 2017 Apr;46(4):500-505.
BACKGROUND
We aimed to observe the effect of holistic nursing on patients undergoing hematodialysis for uremia who simultaneously were suffering from moderate to severe malnutrition.
METHODS
Eighty patients with uremia on maintenance hematodialysis with malnutrition between June 2014 and June 2015 from Yantaishan Hospital, Yantai, Shandong, China were included and equally and randomly were divided into the control group (n=43) and observation group (n=43). Routine nursing was used in the control group while holistic nursing was used in observation group (before, during and after dialysis) and the clinical effects in the two groups were compared after 3 months.
RESULTS
At follow-up visits, serum creatinine and urea nitrogen levels of the patients in the two groups were decreased, whereas hemoglobin and albumin levels were increased. In addition, these improvements were greater in the observation group and the differences were statistically significant (<0.05). Furthermore, during follow-up visits, MQSGA and MIS scores of the two groups were lower and the scores of the observation group were lower than those in the control group were, and the differences were statistically significant (<0.05).
CONCLUSION
Holistic nursing is able to improve significantly malnutrition in patients with uremia on hematodialysis.
背景
我们旨在观察整体护理对同时患有中重度营养不良的尿毒症血液透析患者的影响。
方法
纳入2014年6月至2015年6月来自中国山东烟台毓璜顶医院的80例维持性血液透析的尿毒症营养不良患者，将其等分为对照组（n = 43）和观察组（n = 43）。对照组采用常规护理，观察组在透析前、透析期间和透析后采用整体护理，3个月后比较两组的临床效果。
结果
随访时，两组患者的血清肌酐和尿素氮水平降低，血红蛋白和白蛋白水平升高。此外，观察组的这些改善更大，差异具有统计学意义（<0.05）。此外，随访期间，两组的MQSGA和MIS评分均降低，且观察组的评分低于对照组，差异具有统计学意义（<0.05）。
结论
整体护理能够显著改善尿毒症血液透析患者的营养不良状况。
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