多维度强化护理对慢性肾性骨病患者心功能及骨功能的影响分析
Analysis of the Influence of Multi-Dimensional Intensive Nursing on Heart Function and Bone Function in Patients with Chronic Renal Bone Disease
贾卫红1
作者信息
- 1. 天津市第三中心医院肾病免疫科,天津 300171
- 折叠
摘要
目的:探讨与分析多维度强化护理对慢性肾性骨病患者心功能及骨功能的影响.方法:选择 2020年 12月—2022年 11月天津市第三中心医院收治的 126例慢性肾性骨病患者为研究对象,根据 1:1 随机掷骰子原则分为多维度组与参照组,各 63例.参照组给予常规护理,多维度组在参照组护理的基础上给予多维度强化护理,2组的护理观察时间为 2个月,观察与评定患者的心功能及骨功能变化情况.结果:护理2个月后,多维度组的骨功能总有效率为98.40%,高于参照组的88.90%,差异有统计学意义(P<0.05).2组左心室质量指数与室间隔厚度均低于护理前,且多维度组的左心室质量指数、室间隔厚度均低于参照组,差异有统计学意义(P<0.05).多维度组的活力、总体健康、社会功能、情感职能、精神健康等生活质量评分均高于参照组,组间差异有统计学意义(P<0.05).2组血钙均高于护理前,血磷低于护理前,且多维度组高于参照组,血磷低于参照组,差异有统计学意义(P<0.05).结论:多维度强化护理在慢性肾性骨病患者的应用能降低患者的血磷,提高血钙,从而改善患者的骨功能,有利于患者心功能恢复正常,持续提高患者的生活质量.
Abstract
Objective:To explore and analyze the effect of multi-dimensional intensive nursing on cardiac function and bone function of patients with chronic renal osteodystrophy.Methods:126 patients with chronic renal osteodystrophy admitted to Tianjin Third Central Hospital from December 2020 to November 2022 were selected as the research objects.According to the principle of 1:1 random dice rolling,they were divided into a multi-dimensional group and a reference group,with 63 cases in each group.The reference group was given routine nursing,and the multi-dimensional group was given multi-dimensional intensive nursing on the basis of the reference group.The nursing observation time of the two groups was 2 months,and the changes of heart function and bone function of the patients were observed and evaluated.Results:After 2 months of nursing,the total effective rate of bone function in the multi-dimensional group was 98.40%,which was higher than 88.90%in the reference group,and the difference was statistically significant(P<0.05).The left ventricular mass index and interventricular septum thickness of the two groups were lower than those before nursing,and the left ventricular mass index and interventricular septum thickness of the multidimensional group were lower than those of the reference group,the difference was statistically significant(P<0.05).The scores of vitality,general health,social function,emotional function,mental health and other quality of life in the multidimensional group were higher than those in the reference group,and the differences between the two groups were statistically significant(P<0.05).The blood calcium of the two groups was higher than that before nursing,and the blood phosphorus was lower than that before nursing,and the blood calcium of the multidimensional group was higher than that of the reference group,and the blood phosphorus was lower than that of the reference group,and the differences were statistically significant(P<0.05).Conclusion:The application of multi-dimensional intensive nursing in patients with chronic renal osteodystrophy can reduce the blood phosphorus and increase the blood calcium,so as to improve the bone function of patients,help the recovery of cardiac function of patients,and continuously improve the quality of life of patients.
关键词
慢性肾性骨病/多维度强化护理/血磷/骨功能/心功能/生活质量Key words
Chronic renal bone disease/Multi-dimensional intensive nursing/Blood phosphorus/Bone function/Cardiac function/Quality of life引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据