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目的探讨人性化护理在行血液透析的肿瘤合并肾功能衰竭患者中的应用效果。方法选取2013年4月至2016年1月间崇州市人民医院收治的82例行血液透析的肿瘤合并肾功能衰竭患者。采用随机数表法分为观察组与对照组,每组41例。观察组患者行人性化护理,对照组患者行常规护理。比较两组患者的心理状况、生活质量、并发症发生情况和护理质量的差异。结果护理后,观察组患者焦虑自评量表(SAS)得分为(37.51±3.19)分,明显低于对照组患者的(52.76±3.92)分;观察组患者抑郁自评量表(SDS)得分为(39.31±4.77)分,明显低于对照组的(52.55±4.71)分,两组组间比较差异均有统计学意义(均P<0.05)。观察组患者的生活质量量表总分为(489.76±43.71)分,明显高于对照组患者的(410.39±31.24)分,两组组间比较差异有统计学意义(P<0.05)。观察组患者的高血压、心力衰竭和高钾血症发生率分别为41.5%、34.2%和12.2%,明显低于对照组患者的75.6%、78.1%和34.2%,两组组间比较差异均有统计学意义(均P<0.05)。观察组患者的护理质量总分为(92.62±5.76)分,两组组间比较明显高于对照患者的(50.94±3.76)分,差异有统计学意义(P<0.05)。结论对行血液透析的肿瘤合并肾功能衰竭患者采用人性化护理能够明显缓解患者焦虑和抑郁情绪,提高患者生活质量,降低患者并发症发生率,同时提高护理工作质量。
Objective To investigate the effect of humanized nursing in hemodialysis patients with renal failure and renal failure. Methods From April 2013 to January 2016, 82 cases of hemodialysis patients with renal failure and renal failure were treated in Chongzhou People’s Hospital. Using random number table divided into observation group and control group, 41 cases in each group. The patients in the observation group were given human nursing care while those in the control group were given routine nursing care. The psychological status, quality of life, complications and quality of care were compared between the two groups. Results After nursing, the self-rating anxiety scale (SAS) score of the observation group was (37.51 ± 3.19) points, which was significantly lower than that of the control group (52.76 ± 3.92). The score of SDS in the observation group (39.31 ± 4.77) points, which was significantly lower than that of the control group (52.55 ± 4.71). There was significant difference between the two groups (all P <0.05). The total score of quality of life in observation group was (489.76 ± 43.71) points, which was significantly higher than that in control group (410.39 ± 31.24). There was significant difference between the two groups (P <0.05). The incidence of hypertension, heart failure and hyperkalemia in the observation group was 41.5%, 34.2% and 12.2% respectively, which was significantly lower than that in the control group (75.6%, 78.1% and 34.2%, respectively) There was statistical significance (all P <0.05). The total score of nursing quality in the observation group was (92.62 ± 5.76) points, which was significantly higher than that in the control group (50.94 ± 3.76), the difference was statistically significant (P <0.05). Conclusion Human hemodialysis patients with renal failure and renal failure can significantly alleviate the anxiety and depression, improve the quality of life of patients, reduce the incidence of complications and improve the quality of nursing work.