Fei Biyan, Zhan Lili, Gou Jingqi, Wu Yanping, Sun Haili
Technol Health Care. 2025;33(1):299-310. doi: 10.3233/THC-241021.
Discussed based on the network interactive platform of structured care for patients with chronic renal failure (CRF) in the process of hemodialysis.
This study seeks to elucidate the application value of structured nursing, deployed through network interaction platforms, in sustaining patients undergoing maintenance hemodialysis.
A total of 62 patients diagnosed with Chronic Renal Failure (CRF) between April 2022 and August 2023 were randomly allocated into two distinct care groups: conventional and structured nursing care based on a web-interactive platform. Both cohorts were comparatively analyzed with respect to psychological states, quality of life within therapeutic interventions, and relationships with complications. Renal function indicators, including Creatinine Clearance (Ccr), Serum Creatinine (SCr), and Blood Urea Nitrogen (BUN), were subjected to Pearson analysis to appraise their predictive value in prognostication, while Receiver Operating Characteristic (ROC) curve analysis was constructed to further discern their diagnostic precision.
Post-intervention, notable improvements were observed in the emotional states of patients in both cohorts, with the structured care group exhibiting significantly lower Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) scores (p< 0.05). Furthermore, patients under the web-interactive structured nursing regimen demonstrated superior overall adherence, a reduced incidence rate of complications, and markedly higher scores in quality of life assessments compared to those under conventional care (p< 0.05). The derived cut-off values for Ccr, SCr, and BUN were 32.5 ml/min, 251.5 umol/L, and 14.5 mmol/L, respectively, with sensitivities and specificities pegged at 0.645% and 0.645% for Ccr, 0.774% and 0.548% for SCr, and 0.774% and 0.774% for BUN. The corresponding areas under the ROC curve (AUC) for each parameter were 0.816, 0.653, and 0.856, respectively.
Comprehensive hemodialysis care for patients with chronic renal failure can improve self-care ability to improve quality of life and reduce the incidence of complications, which has great potential for clinical progress and is worthy of further research.
基于网络互动平台对慢性肾衰竭（CRF）患者血液透析过程中的结构化护理进行探讨。
本研究旨在阐明通过网络互动平台开展的结构化护理在维持性血液透析患者中的应用价值。
选取2022年4月至2023年8月期间诊断为慢性肾衰竭（CRF）的62例患者，随机分为两个不同的护理组：传统护理组和基于网络互动平台的结构化护理组。对两组患者的心理状态、治疗干预期间的生活质量以及并发症发生情况进行比较分析。对包括肌酐清除率（Ccr）、血清肌酐（SCr）和血尿素氮（BUN）在内的肾功能指标进行Pearson分析，以评估其在预后中的预测价值，同时构建受试者工作特征（ROC）曲线分析以进一步辨别其诊断准确性。
干预后，两组患者的情绪状态均有显著改善，结构化护理组的自评焦虑量表（SAS）和自评抑郁量表（SDS）得分显著更低（p<0.05）。此外，与传统护理组相比，接受网络互动结构化护理方案的患者总体依从性更高，并发症发生率更低，生活质量评估得分显著更高（p<0.05）。Ccr、SCr和BUN的截断值分别为32.5 ml/min、251.5 umol/L和14.5 mmol/L，Ccr的敏感性和特异性分别为0.645%和0.645%，SCr为0.774%和0.548%，BUN为0.774%和0.774%。各参数对应的ROC曲线下面积（AUC）分别为0.816、0.653和0.856。
对慢性肾衰竭患者进行全面的血液透析护理可提高自我护理能力，改善生活质量，降低并发症发生率，具有很大的临床进展潜力，值得进一步研究。
