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目的:探讨运用协同护理模式(CCM)对维持性血液透析(HD)串联血液灌流治疗尿毒症皮肤瘙痒患者的临床应用价值。方法:选取2014年1月至2015年1月广州市花都区人民医院收治的121例尿毒症皮肤瘙痒患者,依据护理模式差异分为观察组(61例)和对照组(60例),对照组予以常规护理,观察组予以CCM护理。对比两组患者护理干预后瘙痒总缓解率。结果:观察组和对照组护理干预后瘙痒总缓解率分别为88.52%与71.67%,观察组缓解程度明显较对照组理想,差异具有统计学意义(P<0.05)。结论:临床予以维持性HD串联血液灌流治疗尿毒症皮肤瘙痒患者运用CCM,可有效缓解其皮肤瘙痒症状,提升患者自我护理能力与生活质量。
Objective: To investigate the clinical value of collaborative nursing model (CCM) in maintenance hemodialysis (HD) tandem hemoperfusion in the treatment of pruritus patients with uremic skin pruritus. Methods: Totally 121 patients with uremic pruritus who were treated in Huadu District People’s Hospital of Guangzhou from January 2014 to January 2015 were divided into observation group (61 cases) and control group (60 cases) according to the nursing mode. Group to be routine care, observation group to CCM care. The total rate of itch remission was compared between the two groups after nursing intervention. Results: The total remission rate of the itching in the observation group and the control group was 88.52% and 71.67%, respectively. The remission rate in the observation group was significantly better than that in the control group (P <0.05). CONCLUSION: CCM can effectively relieve pruritus symptoms and improve self-care ability and quality of life in patients with pruritus treated with maintenance HD series hemoperfusion.