群组管理干预对维持性血液透析患者的影响

目的:探讨群组管理干预对维持性血液透析(MHD)患者营养状态、血管钙化及生活质量的影响。方法:将2018年4月1日~2019年6月1日收治的86例MHD患者为研究对象,按照随机数字表法分为干预组和对照组各43例。对照组给予常规护理干预,干预组在对照组基础上给予群组管理干预。比较两组干预前及干预3个月后营养状态采用营养不良炎症评分表(MIS)、测量三头肌皮褶厚度(TSF)、上臂周径(MAC)]、血管钙化情况检测人成纤维细胞生长因子(FGF-23)、胎球蛋白-A(Fetuin-A)]、心理状态采用康奈尔医学指数量表(CMI)]和生活质量采用血液透析患者生活质量量表(KDQ-SF)]。结果:干预3个月后,两组MIS评分、FGF-23水平、CMI评分均低于干预前(P<0.05),且干预组低于对照组(P<0.05);干预3个月后,两组TSF、MAC、Fetuin-A水平及KDQ-SF评分均优于干预前(P<0.05),且干预组优于对照组(P<0.05)。结论:群组管理干预能够改善MHD患者营养状态和血管钙化情况,提升其生活质量,缓解负性情绪,从而改善患者心理状况。

Effect of Group Management Intervention on Patients with Maintenance Hemodialysis

Objective:To explore the effect of group management on nutritional status,vascular calcification and quality of life in patients with maintenance hemodialysis(MHD).Methods:A total of 86 patients with MHD admitted during April 1,2018-June 1,2019 were selected as the research subjects,and were divided into the intervention group and the control group according to the random number table method,with 43 cases in each group.The control group was given routine nursing intervention,and the intervention group was given group management intervention on the basis of control group.The nutritional statusMalnutrition Inflammation Scale(MIS),triceps skinfold thickness(TSF),upper arm circumference(MAC)],vascular calcificationhuman fibroblast growth factor(FGF-23),Fetuin-A],psychological statusCornell Medical Index Scale(CMI)]and quality of lifeQuality of Life Scale for Hemodialysis Patients(KDQ-SF)]were compared between the two groups before intervention and after 3 months of intervention.Results:After 3 months of intervention,the MIS,FGF-23 and CMI in the two groups were lower than those before intervention(P<0.05),and lower in the intervention group than those in the control group(P<0.05).The TSF,MAC,Fetuin-A and KDQ-SF in the two groups were better than those before intervention(P<0.05),and better in the intervention group after intervention than those in the control group(P<0.05).Conclusion:Group management can improve the nutritional status and vascular calcification and improve the quality of life in MHD patients,and can also eliminate the negative emotions and improve their psychological status.