精细化护理干预对高龄急性肾损伤患者的影响

摘要

目的:探讨精细化护理干预对高龄急性肾损伤患者的影响.方法:将80例高龄急性肾损伤患者随机分为研究组和对照组各40例,对照组给予常规护理,研究组在此基础上给予精细化护理干预,比较两组临床疗效、肾功能指标、生存率及护理满意度.结果:研究组总有效率明显高于对照组(P<0.05);两组护理后血清肌酐(Scr)、尿素氮(BUN)及24 h尿量明显优于护理前(P<0.05),且研究组患者Scr、BUN水平均低于对照组(P<0.05),24 h尿量明显多于对照组(P<0.05);研究组生存率及护理满意度明显高于对照组(P<0.05).结论:对高龄急性肾损伤患者给予精细化护理干预,疗效显著,可明显促进患者肾功能恢复,提高生存率和护理满意度.%Objective:To explore the effect of meticulous nursing intervention on elderly patients with acute renal injury. Methods:A to-tal of 80 elderly patients with acute kidney injury were randomly divided into the study group and the control group,40 cases in each group. The control group was given routine nursing,and the study group was given meticulous nursing intervention on the basis of this con-trol group. The clinical efficacy,renal function index,survival rate and nursing satisfaction rate of the two groups were compared. Results:The total efficiency of the study group was significantly higher than that of the control group(P < 0. 05);after the intervention,the two groups′ serum creatinine(Scr),urea nitrogen(BUN)and 24h urine volume were obviously better than those before the intervention(P <0. 05),the level of BUN and Scr in patients of the study group,were significantly lower than the control group(P < 0. 05),24 h urine vol-ume was significantly more than that in the control group(P < 0. 05);the study group′s survival rate and nursing satisfaction were signifi-cantly higher than those in the control group(P < 0. 05). Conclusion:Meticulous nursing intervention for elderly patients with acute kidney injury is effective,which can significantly promote renal function recovery,improve survival rate and nursing satisfaction.