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目的探讨强化护理管理模式对维持性血液透析患者的效果。方法选取在即墨市人民医院行维持性血液透析的256例慢性肾功能衰竭患者,将患者随机分为对照组(127例)和观察组(129例),对照组予以常规的护理,观察组在对照组护理基础上予以强化护理管理模式干预,比较两组患者的观察指标及统计学方法,干预时间。采用统计软件包SPSS12.0进行统计分析,计量资料比较采用t检验,计数资料对比采用χ2检验,P<0.05为差异有统计学意义。结果实施护理干预前,两组患者的血红蛋白(Hb)、血清前白蛋白(PA)、血白蛋白(ALB)水平,差异无统计学意义(P>0.05);实施护理干预后,观察组的Hb、PA、ALB水平明显高于对照组,差异有统计学意义(P<0.05)。观察组患者的血压异常变化的发生率、内瘘闭塞率、住院率明显低于对照组;穿刺成功率、护理满意度明显高于对照组;差异均有统计学意义(P<0.05)。结论在维持性血液透析患者中实施强化护理管理模式,能有效提高患者的穿刺成功率和护理满意度,降低患者的血压异常发生率、内瘘闭塞率、住院率。
Objective To explore the effect of intensive nursing management on maintenance hemodialysis patients. Methods A total of 256 patients with chronic renal failure undergoing hemodialysis in Jimo People’s Hospital were enrolled. The patients were randomly divided into control group (127 cases) and observation group (129 cases). The control group was given routine nursing care. Control group based on nursing care to strengthen management intervention, the two groups of patients were compared with the observation indicators and statistical methods, intervention time. Using statistical software package SPSS12.0 for statistical analysis, measurement data were compared using t test, count data comparison using χ2 test, P <0.05 for the difference was statistically significant. Results Before nursing intervention, the levels of hemoglobin (Hb), serum albumin (PA) and albumin (ALB) in two groups had no significant difference (P> 0.05). After nursing intervention, Hb, PA, ALB levels were significantly higher than the control group, the difference was statistically significant (P <0.05). The incidence of abnormal blood pressure, fistula occlusion and hospitalization rate in the observation group were significantly lower than those in the control group. The successful rate of puncture and nursing satisfaction were significantly higher than those in the control group (P <0.05). Conclusions The intensive nursing management mode in maintenance hemodialysis patients can effectively improve the success rate of puncture and nursing satisfaction, reduce the incidence of abnormal blood pressure, fistula occlusion and hospitalization rate.