血液透析联合血液灌流治疗尿毒症皮肤瘙痒患者的临床护理观察

目的探讨血液透析联合血液灌流尿毒症皮肤瘙痒的临床护理。方法将本院进行血液透析联合血液灌流治疗的75例尿毒症皮肤瘙痒患者,按入院先后分为常规护理组和综合护理组,分别给予其常规护理和综合性护理干预。对比护理干预实施前后2组患者的皮肤瘙痒程度评分、瘙痒发作时间及HAMA、HAMD评分,并对比护理干预后2组患者的皮肤瘙痒缓解程度。结果护理干预前,2组患者的皮肤瘙痒程度评分、瘙痒发作时间、HAMA、HAMD评分均无显著差异(P0.05);护理干预后,2组患者的上述各项评分及瘙痒发作时间均有所改善,但综合护理组患者的改善幅度明显大于常规护理组,组间比较差异有统计学意义(P0.05)。综合护理组患者的皮肤瘙痒缓解率为86.84%,明显高于常规护理组(75.68%),差异有统计学意义(P0.05)。结论血液透析联合血液灌流配合综合性护理干预能够有效缓解尿毒症患者的皮肤瘙痒症状,延长瘙痒发作时间,改善心理状态。

Clinical nursing of hemodialysis combined with hemoperfusion in the treatment of uremic pruritus

Objective To explore clinical nursing of hemodialysis combined with hemoperfusion in the treatment of uremic pruritus.Methods A total of 75 uremic pruritus patients treated by hemodialysis combined with blood perfusion in our hospital were selected as the research objects,and were divided into routine nursing group and comprehensive nursing group according to hospital admission,given routine nursing and comprehensive nursing intervention,respectively.Degree of skin itching,itching onset time and HAMA,HAMD score of two groups after nursing intervention were compared.Relieve degree of skin itching in the two groups after nursing intervention of two groups was compared.Results Before nursing intervention,two groups had no significant differences in the degree of skin itching,itching onset time,HAMA,HAMD score (P ＞ 0.05).After nursing intervention,the scores of above indicators and itching onset time were improved,but the comprehensive nursing group improved more than that of the conventional nursing group,the differences between groups were statistically significant (P ＜ 0.05).The remission rate in the comprehensive nursing group was 86.84％,which was significantly higher than 75.68％ in the conventional nursing group,and the difference was statistically significant (P ＜ 0.05).Conclusion Hemodialysis and hemoperfusion combined with comprehensive nursing intervention can effectively alleviate the symptoms of skin itching in uremic patients,prolong onset time of itching,and improve mental state.