维持性血液透析患者皮肤瘙痒的评估及护理

目的 总结60例维持性血液透析患者皮肤瘙痒的护理评估和护理干预.方法 护理评估方法包括顽固性皮肤瘙痒的程度、透析的充分性、心脏功能、营养状况等.干预方法包括正确使用血液透析串联血液灌流技术,皮肤护理、营养和心理支持等.结果 60例患者皮肤瘙痒平均分由治疗前的（6.85±1.31）分降至（2.02±0.13）分,差异有统计学意义（P＜0.01）.结论 正确细致的护理评估及有效的护理干预对维持性血液透析患者皮肤瘙痒有明显的改善作用.

Nursing assessment and intervention on uremic pruritus of patients with maintenance hemodialysis

Objective To summarize nursing assessment and nursing intervention on uremic pruritus in 60 maintenance hemodialysis (MHD) patients. Methods The items of nursing evaluation were puritus severity, the efficiency of dialysis, cardiac function and nutritional states. Nursing intervention included appropriate using hemodialysis skills, skin care and psychological support. Results The severity of uremic pruritus in MHD patients were decreased significanfly from (6.85±1.31) to(2.02±0.13) (P<0.01).Conclusions The appropriate application of nursing assessment and nursing intervention can improve the symptom of uremic pruritus in MHD patients.