文章摘要

维持性血液透析患者的路径化康复护理及预后

作者: 1廖保丹, 1王曦, 1王秀娇, 1何春梅
1 海南医学院第二附属医院血液净化室,海口 570311
通讯: 廖保丹 Email: 65294119@qq.com
DOI: 10.3978/j.issn.2095-6959.2020.09.039

摘要

目的:探讨路径化康复护理对维持性血液透析患者营养状况及预后的影响,为临床诊疗提供参考。方法:选取2017年11月至2018年10月收治的维持性血液透析患者90例为研究对象,采用随机数表法分为对照组和观察组,每组45例。对照组采用常规护理,观察组采用路径化康复护理。比较两组患者护理前、后白蛋白(albumin,ALB)、前白蛋白(prealbumin,PA)、转铁蛋白(transferrin,TRF)、疾病知识掌握、自我管理行为及生活质量评分的变化,记录治疗期间并发症发生情况。结果:护理后,两组患者营养指标ALB,PA,TRF均升高,观察组明显高于对照组,差异有统计学意义(P<0.05)。护理后,两组患者疾病知识掌握、自我管理行为评分均升高,且观察组高于对照组,差异均有统计学意义(P<0.05);护理后,观察组患者的生理职能、躯体疼痛、情感职能、心理健康等评分高于对照组,差异均有统计学意义(P<0.05)。观察组并发症总发生率(4.44%)低于对照组(17.78%),差异有统计学意义(P<0.05)。结论:路径化康复护理干预维持性血液透析患者效果显著,可改善患者营养状况,提高疾病知识掌握、自我管理行为及生活质量,减少并发症,值得临床推广使用。
关键词: 维持性血液透析;路径化康复护理;营养状况;生活质量;并发症

Effect of rehabilitation path nursing and prognosis of maintenance hemodialysis patients

Authors: 1LIAO Baodan, 1WANG Xi, 1WANG Xiujiao, 1HE Chunmei
1 Blood Purification Room, Second Affiliated Hospital of Hainan Medical College, Haikou 570311, China

CorrespondingAuthor: LIAO Baodan Email: 65294119@qq.com

Abstract

Objective: To explore the effect of path rehabilitation nursing on nutritional status and prognosis of maintenance hemodialysis patients, and to provide reference for clinical diagnosis and treatment. Methods: Ninety patients with maintenance hemodialysis admitted from November 2017 to October 2018 were selected as experimental subjects, and randomly divided into two groups, 45 in each group. Routine nursing was used in the control group and path rehabilitation nursing was used in the observation group. The changes of albumin (ALB), Prealbumin (PA), transferrin (TRF), disease knowledge, self-management behavior and quality of life scores were compared between the two groups before and after nursing. Results: After nursing, the nutritional indexes of ALB, PA and TRF in the two groups were all increased, and the observation group was significantly higher than the control group, the difference was statistically significant (P<0.05). After nursing, the scores of disease knowledge mastery and self-management behavior in the two groups increased, and the difference was statistically significant (P<0.05); after nursing, the scores of physical function, physical pain, emotional function and mental health of the patients in the observation group were higher than those in the control group (P<0.05). The total incidence of complications in the observation group (4.44%) was significantly lower than that in the control group (17.78%), and the difference was statistically significant (P<0.05). Conclusion: Path rehabilitation nursing intervention for maintenance hemodialysis patients can improve the nutritional status of patients, improve disease knowledge, self-management behavior and quality of life, and reduce complications, which is worthy of clinical application.
Keywords: maintenance hemodialysis; path rehabilitation nursing; nutritional status; quality of life; complications