综合护理在慢性肾衰竭患者血液透析中的效果及对其生活质量的影响
Effectiveness of Comprehensive Nursing in Hemodialysis of Patients with Chronic Renal Failure and the Impact on Their Quality of Life.
作者信息
Wen Quan, Yao Shuang, Yao Bingnan
机构信息
Songbei Nucleic Acid Clinic, Fourth Affiliated Hospital of Harbin Medical University, Harbin 150028, Heilongjiang, China.
The Second Department of Hemodialysis, Fourth Affiliated Hospital of Harbin Medical University, Harbin 150028, Heilongjiang, China.
出版信息
Evid Based Complement Alternat Med. 2022 Aug 5;2022:1399650. doi: 10.1155/2022/1399650. eCollection 2022.
OBJECTIVE
To assess the effectiveness of comprehensive nursing in patients with chronic renal failure undergoing hemodialysis and the impact on their quality of life.
METHODS
The present study included 86 patients undergoing hemodialysis for chronic renal failure from January 2020 to October 2021 and randomly assigned them to receive either normal nursing or comprehensive nursing, with 43 cases in each group. Outcome measures included psychological status, treatment compliance, quality of life, and complications of the eligible patients.
RESULTS
After the intervention, comprehensive nursing resulted in lower Self-Rating Anxiety Scale (SAS) scores and Self-Rating Depression Scale (SDS) scores and higher quality of life scores for patients versus routine nursing ( < 0.05). Comprehensive nursing was associated with a significantly higher overall patient compliance rate versus routine nursing ( < 0.05). Patients receiving comprehensive nursing had a lower risk of developing complications versus those given routine nursing ( < 0.05).
CONCLUSION
Comprehensive care increases treatment compliance and self-care capacity of patients undergoing hemodialysis for chronic renal failure, improves their quality of life, and lowers the risk of complications, indicating a high potential for clinical advancement.
目的
评估综合护理对慢性肾衰竭血液透析患者的有效性及其对患者生活质量的影响。
方法
本研究纳入了2020年1月至2021年10月期间86例接受慢性肾衰竭血液透析的患者，并将他们随机分为两组，分别接受常规护理或综合护理，每组43例。观察指标包括符合条件患者的心理状态、治疗依从性、生活质量和并发症情况。
结果
干预后，与常规护理相比，综合护理使患者的焦虑自评量表（SAS）得分和抑郁自评量表（SDS）得分更低，生活质量得分更高（P<0.05）。与常规护理相比，综合护理的患者总体依从率显著更高（P<0.05）。接受综合护理的患者发生并发症的风险低于接受常规护理的患者（P<0.05）。
结论
综合护理提高了慢性肾衰竭血液透析患者的治疗依从性和自我护理能力，改善了他们的生活质量，并降低了并发症风险，表明具有很高的临床推广潜力。
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