丛淑娟++姜丽

[摘要] 目的 分析护理干预对慢性肾功能衰竭患者生活质量的影响。方法 方便选取该院2013年10月—2017年2月接收的116例慢性肾功能衰竭患者资料，按护理措施不同分成2组，行基础护理的58例患者为对照组，行综合护理干预的58例患者为研究组，对比两组肾功能指标、生存质量及心理状态。结果 研究组血红蛋白、肌酐等指标水平（98.56±7.75）g/L、（1 012.31±94.47）umol/L较对照组高，差异有统计学意义，精力、生理机能等评分（67.79±8.40）分、（81.86±8.29）分较对照组高，SAS与SDS评分（39.54±3.18）分、（41.48±4.94）分则较对照组低，比较差异有统计学意义（P<0.05）。结论 慢性肾功能衰竭患者行综合护理干预可改善负面情绪与肾功能，提高生存质量。

[关键词] 综合护理干预；慢性肾功能衰竭；生活质量

[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）05（b）-0138-03

[Abstract] Objective To analyze the effect of nursing intervention on the quality of life of patients with chronic renal failure. Methods 116 cases of patients with chronic renal failure admitted and treated in our hospital from October 2013 to February 2017 were convenient selected and divided into two groups with 58 cases in each according to different nursing measures， the control group adopted the basic nursing， while the research group adopted the comprehensive nursing intervention， and the renal function index， survival quality and mental state were compared between the two groups. Results The hemoglobin and creatinine levels in the research group were respectively （98.56±7.75）g/L and （1 012.31±94.47）umol/L， which were higher than those in the control group， and the differences were statistically significant， and the energy and physical organ scores were respectively（67.79±8.40）points and （81.86±8.29）points， and the SAS and SDS scores were respectively （39.54±3.18）points and （41.48±4.94）points， which were lower than those in the control group， and the differences between groups were statistically significant（P<0.05）. Conclusion The comprehensive nursing intervention for patients with chronic renal failure can improve the negative emotion and renal function and improve the survival quality.

[Key words] Comprehensive nursing intervention； Chronic renal failure； Quality of life

腎功能衰竭主要是因各种慢性因素引起的肾实质性广泛损伤，并致使患者肾脏调节功能衰退，出现酸碱失衡、水电解质紊乱等临床症状，为各类肾脏疾病的最终表现，因身体负担、经济负担以及疗程较长的原因，患者多会产生严重的负面情绪，继而导致依从性显著降低，所以医治期间予以患者护理干预十分必要[1]。为此该院将该院2013年10月—2017年2月接收的116例慢性肾功能衰竭患者作为讨论对象，旨在研究综合护理干预在慢性肾功能衰竭中的护理效果，现报道如下。

1 资料与方法

1.1 一般资料

方便选取该院接收的116例慢性肾功能衰竭患者资料，研究将签署同意书、意识清晰以及无交流障碍、传染性疾病、血液疾病者纳入；将存在血液透析性禁忌证、精神障碍、依从性差以及伴有其它内科疾病者排除。按护理措施不同可分对照组（58）例，年龄为45～71岁，平均（61.03±7.28）岁，男性30例、女性28例，血液透析时间1～5年，平均（2.29±0.23）年；……