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目的:探讨循证护理和自我护理对中老年肾移植患者的影响。方法:选择本院2013年4月至2015年9月中老年肾移植患者50例,随机分组为观察组和对照组各25例,对照组采用常规护理措施进行护理,观察组采用循证护理措施和自我护理措施进行干预,观察和比较两组患者平均住院时间、治疗费用、术后并发症的发生情况、自我护理能力等。结果:观察组急性排斥反应、肺部感染、血糖异常的发生率;对照组急性排斥反应、比较,差异具有统计学意义(P<0.05);与对照组对比,观察组各项护理能力测量评分明显更高(P<0.05);观察组平均住院时间为(18.5±3.5)d,治疗费用为(55 000±3 000)元,对照组平均住院时间为(25.5±3.5)d,治疗费用为(65 000±3 500)元,组间比较,差异具有统计学意义(P<0.05)。结论:循证护理和自我护理对中老年肾移植病人具有良好效果,有利于改善患者的术后生存质量,提高患者的术后自理能力。
Objective: To investigate the influence of evidence-based nursing and self-care on middle-aged and elderly renal transplant patients. Methods: From April 2013 to September 2015, 50 middle-aged and elderly patients with renal transplantation were randomly divided into observation group (25 cases) and control group (25 cases). The control group received routine nursing measures and the observation group received evidence-based nursing measures And self-care measures intervention to observe and compare the average length of stay in two groups of patients, treatment costs, postoperative complications, self-care ability. Results: The incidences of acute rejection, pulmonary infection and abnormal blood glucose in the observation group were significantly higher than those in the control group (P <0.05). The scores of acute rejection, (P <0.05). The average length of stay in the observation group was (18.5 ± 3.5) days, the cost of treatment was (55 000 ± 3 000) yuan, and the average length of stay in the control group was (25.5 ± 3.5) days. The treatment cost was (65 000 ± 3 500) yuan, the difference between groups was statistically significant (P <0.05). Conclusion: Evidence-based nursing and self-care have good effect on middle-aged and elderly renal transplant patients, which is beneficial to improve postoperative quality of life and improve postoperative self-care ability.