兰州军区某医院血液透析联合血液灌流治疗尿毒症患者综合护理应用分析

摘要

目的：：探讨综合护理模式在血液透析联合血液灌流治疗尿毒症患者中的应用效果。方法：回顾性分析兰州军区某医院肾病内科2011年7月-2013年9月收治的120例尿毒症实施血液透析联合血液灌流治疗的患者，分为综合护理组(60例)和常规护理组(60例)，比较两组患者入院时与住院2周的心理因素、住院过程中对治疗的依从性、血尿素氮等临床指标。结果：综合护理组与常规护理组在治疗前的HAMD、HAMA评分差异不具有显著性(P>0.05)，两组在治疗后的上述评分较治疗前均显著降低(P<0.05)，治疗后综合护理组的HAMD、HAMA评分分别为(11.38±2.74)分和(10.65±2.76)分，均显著低于常规护理组(P<0.05)。综合护理组患者的治疗依从性显著的优于常规护理组(P<0.05)。治疗前两组患者的尿素氮、肌酐、β2微球蛋白测定值差异不显著(P>0.05)，治疗后两组患者的尿素氮、肌酐、β2微球蛋白测定值较治疗前均显著降低(P<0.05)，但两组间治疗后差异均不显著(P>0.05)。综合护理组患者治疗过程中感染率为10%，显著低于常规护理组患者的26.67%(P<0.05)。结论：综合护理模式在血液透析联合血液灌流治疗尿毒症患者中能够显著的降低患者的抑郁焦虑情绪，同时提高患者治疗的依从性，降低治疗过程中发生感染的几率。%Objective:To explore the integrated nursing mode in hemodialysis (HD) combined blood perfusion (HP) in the treatment of pa-tients with uremia application effect. Methods:Nephritis internal medicine in July 2011 to September 2013 were random number table method treated 120 cases of uremia patients treated by implementing HD combined HP is divided into comprehensive nursing group (60 cases) and rou-tine nursing group (60 cases), two groups of patients with hospital 2 weeks in the process of psychological factors, the length of adherence to treatment, the difference of blood urea nitrogen and other clinical indicators were compared. Results: Comprehensive nursing group and routine nursing group before treatment of HAMD, HAMA score difference was not significant (P>0. 05), the score of two groups after treatment than be-fore treatment were significantly lower (P<0. 05), comprehensive nursing group after treatment of HAMD, HAMA scores were 11. 38± 2. 74 points and 10. 65 ±2. 76 patients were significantly lower than that of conventional care group (P<0. 05). Comprehensive nursing group of treat-ment adherence for patients with significantly better than that of patients with routine nursing group (P<0. 05). Two groups of patients before treat-ment of urea nitrogen, creatinine, beta 2 macroglobulin value difference was not significant (P>0. 05), two groups of patients after treatment of u-rea nitrogen, creatinine, beta 2 macroglobulin value than before treatment were significantly lower (P<0. 05), but no significant difference be-tween the two groups after treatment (P>0. 05). Comprehensive nursing groups in the process of treatment in patients with significant infection rate was 10% less than 26. 67% of the patients with routine nursing group (P<0. 05). Conclusion:Comprehensive nursing model in hemodialysis u-nion blood perfusion in the treatment of patients with uremia can significantly reduce the anxiety of patients with depression, and it is necessaey to improve the patient's compliance and reduce the chance of infection in the process of treatment.