护理干预对维持性血液透析患者的影响

目的 探讨护理干预对维持性血液透析(MHD)患者心理和生理影响.方法 将70例MHD患者随机分为干预组(n=36)和对照组(n=34).对照组接受常规的血液透析并按医嘱服用重组人促红细胞生成素;干预组在此基础上,加用护理干预.采用SCL-90量表在干预前、后3天内分别对两组进行测量,同时检测血常规、肾功能及透析间期体重增加量与干体重的比值.结果 干预组的心理健康状况、总体生活质量、Hb、RBC、HCT以及透析前血Ca2 显著高于对照组;透析前BUN、血PO3 4、血K 水平以及IWGR%显著低于对照组;两组透析前的Scr差异无显著性意义.结论 在血液透析的基础上加用护理干预显著改善患者的心理和生理状态.

Effects of nursing intervention on the hemodialysis patients

Objective To explore the effect of nursing intervention on the mental and physiological status in maintained hemodialysis(MHD) patients. Methods Seventy MHD patients were randomly assigned to the intervention group (36 patients) and the control group (34 patients). Patients in the control group received the conventional therapy and recombinant human erythropoietin (rHuEPO). And patients in the intervention group received the conventional therapy combined with nursing intervention. Psychological variables and hematic parameter in both groups were assessed three days before and after the intervention. Results The patients who received psychological intervention therapy showed better mental state, higher quality of life and higher values of Hb, RBC, HCT and serum calcium, lower values of serum phosphor, kalium, BUN and IWGR% than those in the control group. There was no significant difference in Scr between the two groups. Conclusion Nursing intervention can greatly improve the psychological and physiological status in MHD patients.