首页|风险防控质控护理在慢性肾衰竭腹膜透析患者中的应用效果

风险防控质控护理在慢性肾衰竭腹膜透析患者中的应用效果

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目的:观察风险防控质控护理在慢性肾衰竭(CRF)腹膜透析患者中的应用效果.方法:选取 2018 年 6 月至 2020 年 6 月该院收治的 70 例CRF腹膜透析患者进行前瞻性研究,按照随机数字表法将其分为观察组和对照组各 35 例.对照组实施常规护理,观察组在对照组基础上实施风险防控质控护理.比较两组护理前后营养指标[总蛋白(TP)、血红蛋白(Hb)、白蛋白(ALB)]水平、生命质量[肾脏病生活质量简表(KDQOL-SF)]评分、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分,以及并发症发生率.结果:护理后,观察组TP、Hb、ALB水平和KDQOL-SF评分均高于对照组,差异有统计学意义(P<0.05);观察组SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为8.57%(3/35),低于对照组的40.00%(14/35),差异有统计学意义(P<0.05).结论:风险防控质控护理应用于CRF腹膜透析患者可提高营养指标水平和生命质量评分,降低负性情绪评分和并发症发生率,效果优于常规护理.
Application effects of risk prevention and control and quality control nursing in peritoneal dialysis patients with chronic renal failure
Objective:To observe application effects of risk prevention and control and quality control nursing in peritoneal dialysis patients with chronic renal failure(CRF).Methods:A prospective study was conducted on 70 peritoneal dialysis patients with CRF admitted to the hospital from June 2018 to June 2020.According to the random number table method,they were divided into observation group and control group,35 cases in each group.The control group was given routine nursing,while the observation group was given the risk prevention and control and quality control nursing on the basis of that of the control group.The levels of nutritional indicators[total protein(TP),hemoglobin(Hb),albumin(ALB)],the quality of life[kidney disease quality of life short form(KDQOL-SF)]score,the negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]score,and incidence of complications were compared between the two groups before and after the nursing.Results:After the nursing,the levels of TP,Hb,ALB and KDQOL-SF scores in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).the scores of SAS and SDS in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 8.57%(3/35),which was lower than 40.00%(14/35)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The risk prevention and control quality and control nursing in the peritoneal dialysis patients with CRF can improve the nutritional indicator levels and the quality of life scores,and reduce the negative emotion scores and the incidence of complications.Moreover,it is superior to the routine nursing.

Chronic renal failurePeritoneal dialysisRisk prevention and control and quality control nursingNutritionQuality of lifeNegative emotionComplication

赵宁

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郑州市第三人民医院肾内科,河南 郑州 450000

慢性肾衰竭 腹膜透析 风险防控质控护理 营养 生命质量 负性情绪 并发症

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(8)
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