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目的:探讨集束化护理干预对血液透析患者并发症及营养状况的影响。方法:2016年1~12月选取在我科行血液透析的124例患者,随机将患者等分为观察组和对照组,对照组血液透析期间实施常规性护理,观察组血液透析期间实施集束化护理干预,对比分析两组患者血液透析期间并发症发生情况及营养状况。结果:观察组低血压、高血压、心律异常、血流感染、动脉瘤等并发症发生率低于对照组(P<0.05),观察组干预后血红蛋白、转铁蛋白、血浆白蛋白水平高于对照组,而营养不良-炎症评分水平低于对照组(P<0.05)。结论:集束化护理干预能有效降低血液透析患者并发症,改善患者营养状况,有利于患者预后。
Objective: To explore the impact of cluster nursing intervention on the complications and nutritional status of hemodialysis patients. Methods: From January to December of 2016, 124 patients who underwent hemodialysis in our department were randomly divided into observation group and control group. The control group received routine nursing during hemodialysis, while the observation group received intensive treatment during hemodialysis Nursing intervention, comparative analysis of two groups of patients during hemodialysis complications and nutritional status. Results: The complication rates of hypotension, hypertension, heart rhythm, bloodstream infection and aneurysm in the observation group were lower than those in the control group (P <0.05). The levels of hemoglobin, transferrin and plasma albumin in observation group were higher than those in control group The control group, while malnutrition - inflammation score was lower than the control group (P <0.05). Conclusion: The cluster nursing intervention can effectively reduce the complications of hemodialysis patients, improve the nutritional status of patients, which is good for the prognosis of patients.