刘金玲　付初蕾

【摘要】 目的：探讨慢性肾衰竭患者血液透析治疗中应用舒适护理的可行性。方法：选择2012年1月9日-2016年1月9日到本院肾病科血液净化中心进行血液透析治疗的慢性肾衰竭患者120例，运用简单随机法将其分为试验组和对照组，各60例。对照组给予常规护理，试验组在对照组基础上给予舒适护理，干预时间为3个月。观察两组生活质量、护理满意度以及血液透析后并发症情况。结果：经过干预后，试验组情感指数、健康指数、感情指数以及生活满意度评分较对照组均明显提高，且试验组并发症如呼吸困难、低血压、高血压、低血糖、肌肉痉挛、心律失常、感染等发生例数较对照组少，差异均有统计学意义（P<0.05）。同时，试验组护理满意度也较对照组高，差异有统计学意义（P<0.05）。结论：在慢性肾衰竭的患者血液透析治疗中应用舒适护理可以提高生存质量及护理满意度，同时降低血液透析后的并发症发生率，具有可行性。

【关键词】 慢性肾衰竭； 血液透析； 舒适护理

Feasibility of Comfort Nursing in Hemodialysis Patients with Chronic Renal Failure/LIU Jin-ling，FU Chu-lei.//Medical Innovation of China，2017，14（17）：093-096

【Abstract】 Objective：To explore the feasibility of comfortable nursing in hemodialysis patients with chronic renal failure.Method：From January 9，2012 to January 9，2016，120 patients with chronic renal failure who underwent hemodialysis were divided into the experimental group and the control group according to simple random method，60 cases in each group.The control group was given routine nursing，and the experimental group was given comfortable nursing on the basis of the control group.The intervention time was 3 months.The quality of life，care satisfaction，and post-hemodialysis complications of two groups were compared.Result：After the intervention，the emotion，health，feeling and life satisfaction scores of the experimental group were significantly higher than those of the control group，and the number of complications occurred of the experimental group such as dyspnea，hypotension，hypertension，hypoglycemia，muscle spasms，arrhythmia，infection and other cases were lower than those of the control group，the differences had statistical significance（P<0.05）.At the same time，the nursing satisfaction of the experimental group was also higher than that of the control group，the difference was statistically significant（P<0.05）.Conclusion：Comfortable nursing can improve the quality of life and nursing satisfaction of hemodialysis patients with chronic renal failure，and reduce the incidence of complications after hemodialysis，it is feasible.

【Key words】 Chronic renal failure； Hemodialysis； Comfort care

First-authors address：Longgang District Peoples Hospital of Shenzhen City，Shenzhen 518172，China

doi：10.3969/j.issn.1674-4985.2017.17.024

近年來，随着社会经济的发展，人们的生活质量普遍提高，由于饮食结构的不合理等因素，导致了我国慢性肾脏病发病率也逐年提升[1]，据报道，目前我国每年患有慢性肾病的患者约10%[2]，不对其进行及时治疗的话，患者晚期死亡率可高达22%。慢性肾衰竭主要是由于慢性肾脏疾病或者累及肾脏的系统性疾病所引起[3]。综合目前医学技术水平和患者的经济承受能力等情况，血液透析是该类患者的较优之选[4]。血液透析的基本原理是将患者的血液与按一定比例配制的透析液通过血透机相通，使其流至体外进行净化治疗，清除、过滤已被人体所淘汰废弃的水分及其他物质（如电解质），最后将这些已经过……