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目的探讨协同护理疗法的应用对血液透析(HD)患者感染发病率的控制及效果分析。方法将来中山大学附属第五医院治疗的82例进行HD的终末期肾脏疾病(ESRD)患者作为本次研究对象,按随机数字表法分组,分为对照组和试验组,各41例。两组患者均予以一般对症治疗,对照组予以一般常规护理,试验组患者在协同护理模式(CCM)下干预治疗1年。干预前及末次复查评估患者临床疗效,对比患者相关感染发病率及自我护理能力。结果治疗后,试验组总有效率85.37%(35/41)高于对照组的63.41%(26/41),差异有统计学意义(P<0.05)。干预前,两组患者WHOQOL-BREF生活质量生理领域、心理领域、社会关系、环境领域状态比较,差异无统计学意义(P>0.05);两组患者末次复查WHOQOL-BREF生活质量与本组干预前相比,均有所升高(P<0.05);末次复查,试验组HD患者WHOQOL-BREF生活质量均高于对照组(P<0.05)。两组间无致死性恶性感染发生,对照组41例患者中有15例(36.59%)发生过感染;试验组对照组41例患者中有5例(12.20%)发生过感染,经处理后缓解(P=0.010)。结论协同护理的应用能更有效提高HD患者的治疗效率,改善患者生存质量,降低感染发生率,规范和完善ESRD患者HD治疗的管理。
Objective To investigate the application of collaborative nursing in the control of the incidence of infection in hemodialysis (HD) patients and its effect analysis. Methods 82 patients with HD end-stage renal disease (ESRD) treated by the Fifth Affiliated Hospital of Sun Yat-sen University in the future were divided into control group and experimental group according to random number table method, 41 cases in each group. The two groups of patients were treated with general symptomatic treatment, while the control group was given routine nursing care. Patients in the test group were treated for one year under the collaborative nursing model (CCM). Pre-intervention and final review to assess the clinical efficacy of patients, compared with the incidence of infection-related patients and self-care ability. Results After treatment, the total effective rate in the experimental group was 85.37% (35/41), which was higher than that in the control group (63.41%, 26/41). The difference was statistically significant (P <0.05). Before intervention, the quality of life of WHOQOL-BREF between the two groups was not statistically significant (P> 0.05), the quality of life of WHOQOL-BREF was significantly different from that of the intervention group (P <0.05). In the last review, the quality of life of WHOQOL-BREF in HD patients in the experimental group was higher than that in the control group (P <0.05). No fatal malignant infection occurred between the two groups, and 15 (36.59%) of the 41 patients in the control group were infected. In the control group, 5 (12.20%) of the 41 patients were infected and were relieved after treatment (P = 0.010). Conclusion The application of collaborative nursing can effectively improve the treatment of HD patients, improve the quality of life of patients, reduce the incidence of infection, standardize and improve the management of HD treatment of ESRD patients.