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慢性肾功能衰竭患者维持性血液透析的护理

Nursing care of patients with chronic renal failure undergoing maintenance hemodialysis
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摘要 目的:探讨慢性肾功能衰竭(Chronic Renal Failure,CRF)患者行血液透析的护理干预效果。方法:选择2020年9月-2021年3月收治的CRF患者56例进行研究,随机分为对照组28例,观察组28例,对照组给予常规护理措施,观察组给予全程精细化护理,针对焦虑抑郁的心理疏导、健康教育及管理、动静脉内瘘术后护理、饮食指导、皮肤护理等,评估干预前后各项指标变化。结果:与干预前比较,焦虑抑郁评分均下降,两组干预后焦虑抑郁评分、护理质量评分比较,差异有统计学意义(P<0.01),并发症发生率,观察组发生率更低(P<0.05)。结论:护士全程系统护理在改善慢性肾功能衰竭维持性血液透析患者心理状态和生活质量、降低并发症发生率中发挥积极重要作用。 Objective:To explore the effect of nursing intervention on patients with chronic renal failure undergoing hemodialysis.Methods:56 CRF patients admitted from September 2020 to March 2021 were randomly divided into the control group(28 cases)and the observation group(28 cases).The control group was given routine nursing measures,while the observation group was given full-course refined nursing,psychological counseling for anxiety and depression,health education and management,postoperative nursing for arteriovenous fistula,diet guidance,skin care,etc.,and the changes of various indexes before and after intervention were evaluated.Results:Compared with indexes before intervention,the scores of anxiety and depression were decreased.After intervention,the scores of anxiety and depression and nursing quality were significantly different between the two groups(P<0.01),and the incidence of complications in the observation group was lower(P<0.05).Conclusion:Nurses’whole-course systematic nursing plays an active and important role in improving the psychological state and quality of life of maintenance hemodialysis patients with chronic renal failure and reducing the incidence of complications.
出处 《中医临床研究》 2022年第24期38-40,共3页 Clinical Journal Of Chinese Medicine
关键词 慢性肾功能衰竭 心理疏导 饮食营养指导 造瘘口管理 健康教育 Chronic renal failure Psychological counseling Diet and nutrition guidance Management of stoma Health education
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