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目的:探讨Orem自护理论在维持性血液透析并发心力衰竭护理中的应用。方法:对维持性血液透析并发心力衰竭患者10例,患者入院后,在积极治疗过程中,分别通过全补偿系统、部分补偿系统、支持-教育系统进行综合护理干预。结果:经过积极的治疗和护理,患者的左心衰并发症均得到控制,能够较顺利的完成血液透析,患者的护理满意度得到提高。结论:在维持性透析并发急性左心衰患者的临床治疗中,采用综合护理干预,运用奥瑞姆自护理论指导患者的护理,能够有效控制患者病情,提高自理能力和自我管理能力,减轻抑郁,提高生活质量,值得推广。
Objective: To explore the application of Orem self-care in maintenance hemodialysis patients with heart failure. Methods: 10 patients with maintenance hemodialysis complicated with heart failure were enrolled in the hospital. During the active treatment, comprehensive nursing intervention was carried out through the full compensation system, the partial compensation system and the support-education system respectively. Results: After active treatment and nursing, patients with left heart failure complications were controlled, hemodialysis can be completed more smoothly, and patient satisfaction was improved. Conclusion: In the clinical treatment of patients with maintenance hemodialysis complicated with acute left heart failure, using comprehensive nursing intervention and using Orem self-care theory to guide the patient’s care can effectively control the patient’s condition, improve self-care ability and self-management ability and relieve depression , Improve the quality of life, it is worth promoting.