维持性控制护理对终末期肾病血液透析患者透析效果及生活质量的影响

摘要

目的：探讨维持性控制护理对终末期肾病血液透析患者透析效果及生活质量的影响。方法选取我院2015年8月～2016年7月期间收治的终末期肾病患者70例，随机分成两组，每组35例。对照组采用常规护理，观察组采用维持性控制护理。比较两组透析效果和生活质量。结果对照组平均血细胞压积明显低于观察组，平均尿素清除指数和尿素降低率明显高于观察组，差异有统计学意义（P＜0.05）；对照组QLQ-C30P各维度评分明显低于观察组，差异有统计学意义（P＜0.05）。结论终末期肾病血液透析患者应用维持性控制护理，能有效缓解患者不良情绪，提高患者透析效果和生活质量，具有较高的临床应用价值。%ObjectiveTo investigate the influence of maintenance controlled nursing to dialysis effect and living quality of end-stage renal disease (ESRD) patients with hemodialysis (HD).Methods70 cases of ESRD patients cured into our hospital from August 2015 to July 2016 were randomly divided into two groups with 35 cases in each. Patients in control group were treated with routine nursing,and patients in observation group were treated with maintenance controlled nursing.The dialysis effects and living quality of two groups were compared.Results The mean hematocrit of control group was significantly lower than that of observation group,and the mean urea clearance index and reduction rate of urea in control group were significantly higher than those in observation group (P<0.05). The scores of QLQ-C30P in control group were significantly lower than those in observation group (P<0.05). ConclusionMaintenance controlled nursing for ESRD patients with HD can effectively relieve negative emotions, improve dialysis effects and living quality.It has higher value of clinical application.