维持性控制护理对终末期肾病血液透析患者透析效果及生活质量的影响(1)
[摘要] 目的 探讨维持性控制护理对终末期肾病血液透析患者透析效果及生活质量的影响。 方法 选取我院2015年8月～2016年7月期间收治的终末期肾病患者70例，随机分成两组，每组35例。对照组采用常规护理，观察组采用维持性控制护理。比较两组透析效果和生活质量。 结果 对照组平均血细胞压积明显低于观察组，平均尿素清除指数和尿素降低率明显高于观察组，差异有统计学意义(P<0.05)；对照组QLQ-C30P各维度评分明显低于观察组，差异有统计学意义(P<0.05)。 结论 终末期肾病血液透析患者应用维持性控制护理，能有效缓解患者不良情绪，提高患者透析效果和生活质量，具有较高的临床应用价值。
[关键词] 维持性控制护理；终末期肾病；血液透析；效果；生活质量
[中图分类号] R473.5 [文献标识码] B [文章编号] 2095-0616(2016)20-135-03
Influence of maintenance controlled nursing to dialysis effects and living quality of end-stage renal disease patients with hemodialysis
LI Cailan LI Guanrong LIU Lilan WU Mingjing
Zhanjiang Second People's Hospital，Zhanjiang 524003，China
[Abstract] Objective To investigate the influence of maintenance controlled nursing to dialysis effect and living quality of end-stage renal disease (ESRD) patients with hemodialysis (HD). Methods 70 cases of ESRD patients cured into our hospital from August 2015 to July 2016 were randomly divided into two groups with 35 cases in each.Patients in control group were treated with routine nursing，and patients in observation group were treated with maintenance controlled nursing.The dialysis effects and living quality of two groups were compared. Results The mean hematocrit of control group was significantly lower than that of observation group，and the mean urea clearance index and reduction rate of urea in control group were significantly higher than those in observation group (P<0.05).The scores of QLQ-C30P in control group were significantly lower than those in observation group (P<0.05). Conclusion Maintenance controlled nursing for ESRD patients with HD can effectively relieve negative emotions， improve dialysis effects and living quality.It has higher value of clinical application.
[Key words] Maintenance controlled nursing；End-stage renal disease；Hemodialysis；Effects；Living quality
终末期肾病是指各种慢性肾脏疾病的终末阶段，是一类无法逆转的进行性慢性疾病，具有较高的发病率[1-2]。目前，臨床上对于终末期肾病患者主要采用血液透析治疗，该方法通过对血液进行分离和纯化，从而达到净化血液的目的[3-4]。该治疗方法能有效缓解患者病情，延长患者生存时间，提高患者生活质量。然而血液透析属于一种有创操作，加上患者饱受疾病的折磨，身心健康受到极大的影响，容易使患者产生焦虑、抑郁等情绪，严重者甚至出现轻生的想法[5-7]。因此，采取积极有效的干预措施，缓解患者不良情绪，提高治疗效果显得尤为重要。本研究探讨维持性控制护理对终末期肾病血液透析患者透析效果及生活质量的影响。现报道如下。
1 资料与方法
1.1 一般资料
选取我院2015年8月～2016年7月期间收治的终末期肾病患者70例，本研究经过我院伦理委员会批准，随机分为观察组和对照组。观察组35例，男19例，女16例；年龄24～75岁，平均(50.2±6.1)岁；其中高血压肾病患者8例，糖尿病肾病患者12例，原发性肾损害者15例。对照组35例，男18例，女17例；年龄22～74岁，平均(50.0±6.5)岁；其中高血压肾病患者7例，糖尿病肾病患者13例，原发性肾损害者15例。两组患者一般资料方面比较，差异无统计学意义(P>0.05)。具有可比性。纳入标准：确诊为终末期肾病：经尿常规、尿培养以及肾功能检测显示小球滤过率降至15mL/(min·1.73m2), http://www.100md.com(李彩兰?李观荣?刘黎蓝?吴明静)
[关键词] 维持性控制护理；终末期肾病；血液透析；效果；生活质量
[中图分类号] R473.5 [文献标识码] B [文章编号] 2095-0616(2016)20-135-03
Influence of maintenance controlled nursing to dialysis effects and living quality of end-stage renal disease patients with hemodialysis
LI Cailan LI Guanrong LIU Lilan WU Mingjing
Zhanjiang Second People's Hospital，Zhanjiang 524003，China
[Abstract] Objective To investigate the influence of maintenance controlled nursing to dialysis effect and living quality of end-stage renal disease (ESRD) patients with hemodialysis (HD). Methods 70 cases of ESRD patients cured into our hospital from August 2015 to July 2016 were randomly divided into two groups with 35 cases in each.Patients in control group were treated with routine nursing，and patients in observation group were treated with maintenance controlled nursing.The dialysis effects and living quality of two groups were compared. Results The mean hematocrit of control group was significantly lower than that of observation group，and the mean urea clearance index and reduction rate of urea in control group were significantly higher than those in observation group (P<0.05).The scores of QLQ-C30P in control group were significantly lower than those in observation group (P<0.05). Conclusion Maintenance controlled nursing for ESRD patients with HD can effectively relieve negative emotions， improve dialysis effects and living quality.It has higher value of clinical application.
[Key words] Maintenance controlled nursing；End-stage renal disease；Hemodialysis；Effects；Living quality
终末期肾病是指各种慢性肾脏疾病的终末阶段，是一类无法逆转的进行性慢性疾病，具有较高的发病率[1-2]。目前，臨床上对于终末期肾病患者主要采用血液透析治疗，该方法通过对血液进行分离和纯化，从而达到净化血液的目的[3-4]。该治疗方法能有效缓解患者病情，延长患者生存时间，提高患者生活质量。然而血液透析属于一种有创操作，加上患者饱受疾病的折磨，身心健康受到极大的影响，容易使患者产生焦虑、抑郁等情绪，严重者甚至出现轻生的想法[5-7]。因此，采取积极有效的干预措施，缓解患者不良情绪，提高治疗效果显得尤为重要。本研究探讨维持性控制护理对终末期肾病血液透析患者透析效果及生活质量的影响。现报道如下。
1 资料与方法
1.1 一般资料
选取我院2015年8月～2016年7月期间收治的终末期肾病患者70例，本研究经过我院伦理委员会批准，随机分为观察组和对照组。观察组35例，男19例，女16例；年龄24～75岁，平均(50.2±6.1)岁；其中高血压肾病患者8例，糖尿病肾病患者12例，原发性肾损害者15例。对照组35例，男18例，女17例；年龄22～74岁，平均(50.0±6.5)岁；其中高血压肾病患者7例，糖尿病肾病患者13例，原发性肾损害者15例。两组患者一般资料方面比较，差异无统计学意义(P>0.05)。具有可比性。纳入标准：确诊为终末期肾病：经尿常规、尿培养以及肾功能检测显示小球滤过率降至15mL/(min·1.73m2), http://www.100md.com(李彩兰?李观荣?刘黎蓝?吴明静)