临床护理路径改善维持性血液透析患者心功能及预后生活质量的应用效果

摘要

目的 探讨临床护理路径改善维持性血液透析患者心功能及预后生活质量的应用效果.方法 选取本院于2015年8月-2016年5月期间收治的88例维持性血液透析患者为研究对象,按就诊编号分为对照组(n=44)和实验组(n=44).对照组患者采用常规护理模式进行护理,实验组在对照组基础上采用临床护理路径干预.比较2组干预前后心功能、生活质量的变化情况及并发症发生率.结果 与治疗前比较,实验组和对照组LVESD、LVEDD均明显下降,而LVEF、生活质量评分均明显上升,且实验组上述观察指标均明显优于对照组,差异具有统计学意义(P＜0.05);实验组并发症发生率为11.36％,明显低于对照组的36.36％,差异具有统计学意义(P＜0.05).结论 对维持性血液透析患者采用临床护理路径进行干预,可显著改善心功能,减少并发症发生,促进患者身体恢复,提高生存质量.%Objective To explore the effect of clinical nursing pathways on improving cardiac function and prognostic quality of life in maintenance hemodialysis patients.Methods A total of 88 patients with maintenance hemodialysis admitted to our hospital from August 2015 to May 2016 were selected as control group (n =44) and experimental group (n =44) according to the consultation number.The patients in the control group were treated with routine nursing model,and the experimental group was treated with clinical nursing pathway on the basis of control group.The changes of heart function,quality of life,and the incidence of complications before and after intervention were compared between the two groups.Results Compared with treatment before,LVESD and LVEDD were significantly decreased in both experimental group and control group,while LVEF and quality of life scores were significantly increased,and the above indexes of the experimental group were significantly better than that in the control group (P ＜ 0.05);The incidence of complications in the experimental group was 11.36％,which was significantly lower than 36.36％ in the control group (P ＜ 0.05).Conclusion Clinical nursing pathways in maintenance hemodialysis patients can significantly improve cardiac function,reduce the incidence of complications,promote the recovery of patients,improve the quality of life.