首页|系统CGA护理模式与SFA在血液透析治疗尿毒症中的应用及其对GDF15、HPMCs和并发症的影响

系统CGA护理模式与SFA在血液透析治疗尿毒症中的应用及其对GDF15、HPMCs和并发症的影响

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目的:探讨系统老年综合评分(CGA)护理模式与聚焦解决模式(SFA)在血液透析治疗尿毒症中的应用及其对生长分化因子(GDF15)、人腹膜间皮细胞(HPMCs)和并发症的影响.方法:选取2021年8月—2022年8月南昌市南昌县中医院收治的60例尿毒症患者作为研究对象,随机分为两组.对照组采用SFA进行护理,研究组采用系统CGA护理模式,对比两组患者生活质量评价量表(QOL-LC)评分、Herth希望量表评分、GDF15、HPMCs水平以及并发症发生情况.结果:出院时和出院15d后,研究组QOL-LC评分和Herth希望量表评分均明显高于对照组,差异有统计学意义(t=3.888、3.062;t=3.813、4.703,P<0.05);出院后15 d,研究组GDF-15水平明显低于对照组,差异有统计学意义(t=3.029,P<0.05);研究组患者并发症发生几率低于对照组,差异有统计学意义(χ2=12.500,P<0.05).结论:在尿毒症患者维持血液透析的治疗过程中,结合患者的病情给予科学的系统CGA护理模式干预,能够帮助患者改善QOL-LC评分、Herth评分,提高整体治疗效果.
Systematic CGA Model of Care Versus SFA Model in Hemodialysis for Uremia and its Effect on GDF15,HPMCs and Complications
Objective:To investigate the application of the systematic CGA model of care versus the SFA model in hemodialysis for uremia and its impact on GDF15,HPMCs and complications.Methods:60 cases of uremic patients admitted to the hospital from August 2021 to August 2022 were selected as study subjects and randomly divided into two groups.The control group was cared for using the SFA model and the study group was cared for using the systematic CGA model.QOL-LC scores,Herth Hope Scale scores,GDF15,HPMCs,and complications were compared between the two groups.Results:At the time of discharge and 15 d after discharge,the QOL-LC scores and Herth Hope Scale scores of the study group were significantly higher than those of the control group,and the differences were statistically significant(t=3.888,3.062;t=3.813,4.703;P<0.05).At 15 d after discharge,the GDF-15 level of the study group was significantly lower than that of the control group,and the difference was statistically significant(t=3.029,P<0.05).The chances of complications were lower in the study group than in the control group,and the difference was statistically significant(χ2=12.500,P<0.05).Conclusion:In the treatment process of maintenance hemodialysis for uremic patients,combining with the patients'condition to give scientific CGA nursing model intervention can help patients improve the QOL-LC score,Herth score,and improve the overall therapeutic effect.

Systematic geriatric comprehensive assessment careFocused solution modelHemodialysisUremiaComplications

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南昌市南昌县中医院,江西 南昌,330200

系统老年综合评估护理 聚焦解决模式 血液透析 尿毒症 并发症

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(7)
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