老年病人维持性血液透析的护理对策

目的探讨老年尿毒症病人维持性血液透析的护理对策。方法对2001年1月至2005年6月132例60岁以上尿毒症病人行维持性血液透析的护理进行回顾性总结分析。结果132例病人因各种原因停止透析者67例,改腹膜透析者3例,因心力衰竭、脑出血、心肌梗死、肺部感染等并发症引起死亡者27例。现仍在行维持性血液透析38例。结论老年病人维持性血液透析并发症多,危险性大,做好透析全过程的心理护理,严密观察透析中病情变化,及时处理并发症,加强饮食指导和管理,是提高老年病人维持性血液透析质量和延长生命的关键。

The Nursing Countermeasure of Maintaining Blood Dialysis in Older Patient

Objective To discuss the nursing countermeasure of maintaining blood dialysis in older uremia patient.Methods To analyze the maintaining blood dialysis nursing of 132 cases uremia patients above 60 from January 2001 to June 2005 retrospectively.Results 67 cases stopped dialysis because of some reasons, 3 cases changed to peritoneum dialysis, 27 cases died of heart failure, brain bleeding , cardiac infarction, lung infection etc complication, 38 cases still were doing maintaining blood dialysis.Conclusion Maintaining blood dialysis complications of older patients were more, danger of them was big. The key to increase maintaining blood dialysis quality and length life is to do well psychology nursing of all dialysis course, inspect the change of state of the disease strictly, deal with complication promptly , strength the guide and management of bite and sup.