摘要
目的:观察中医辨证连续护理干预对终末期肾病患者血透效果和生活质量的影响。方法:选择进行血透治疗的终末期肾病患者119例作为研究对象,按随机数字表法将其分为2组,对照组58例患者采用常规护理方法,观察组61例患者采用中医辨证连续护理干预。观察比较2组患者干预前后相关指标变化情况、精神状态、并发症和生活质量。结果:2组干预前尿素氮(BUN)、血肌酐(SC)r、24 h尿蛋白定量(24 h Upro)、β2-微球蛋白(β2-MG)比较,差异无统计学意义(P> 0.05)。2组干预后各指标均较干预前改善(P <0.05)。干预后2组间BUN、SCr、24 h Upro、β2-MG比较,差异有统计学意义(P <0.05)。干预前,2组焦虑评分、抑郁评分比较,差异无统计学意义(P> 0.05)。干预后,2组焦虑评分、抑郁评分均较干预前改善(P <0.05),2组干预后焦虑评分、抑郁评分比较,差异有统计学意义(P <0.05)。对照组并发症发生率为29.31%,观察组为9.84%,2组比较,差异有统计学意义(P <0.05)。干预后,2组各项生活质量评分比较,差异有统计学意义(P <0.05)。结论:中医辨证连续护理干预可以有效改善终末期肾病患者肾功能指标,降低血透并发症的发生率,改善患者精神状态,提高其生活质量。
Objective: To observe the effect of continuous nursing intervention based on syndrome differentiation of Chinese medicine on hemodialysis and quality of life in patients with end-stage renal disease. Methods:A total of 119 cases of patients with end-stage renal disease treated by hemodialysis were selected as the study subjects and were divided into two groups according to the random number table method. The control group(58 cases) was treated with routine nursing,and the observation group(61 cases) was given continuous nursing intervention based on syndrome differentiation of Chinese medicine. The changes of related indexes,mental states,complications and quality of life in the two groups before and after intervention were observed and compared. Results:Before intervention,compared the levels of urea nitrogen(BUN),serum creatinine(SCr), 24-hour urinary protein quantification(24-hour Upro),β2-microglobulin(β2-MG) in the two groups, there was no significance in the difference(P > 0.05). After intervention, the indexes in the two groups were improved when compared with those before intervention(P < 0.05). After intervention, compared the levels of BUN, SCr, 24 h Upro and β2-MG between the two groups, the difference was significant(P < 0.05). Before intervention, compared the scores of anxiety and depression in the two groups,there was no significance in the difference(P > 0.05). After intervention,the scores of anxiety and depression in the two groups were decreased when compared with those before intervention(P < 0.05);compared the above scores in the two groups,the difference was significant(P < 0.05). The incidence of complications was29.31% in the control group and 9.84% in the observation group,the difference being significant(P < 0.05). After intervention,compared each score of quality of life in the two groups,the difference was significant(P < 0.05). Conclusion: Continuous nursing intervention based on syndrome differentiation of Chinese medicine can effectively improve the indexes of the kidney function of patients with end-stage renal disease, reduce the incidence of complications of hemodialysis and improve the mental states of patients as well as their quality of life.
出处
《新中医》
CAS
2019年第7期274-277,共4页
New Chinese Medicine
关键词
终末期肾病
中医辨证护理
血透
生活质量
End-stage renal disease
Nursing based on syndrome differentiation of Chinese medicine
Hemodialysis
Quality of life
