张明

摘要 目的：探讨护理干预对改善尿毒症血液透析结合血液灌流患者睡眠质量的临床效果。方法：选取2018年7月至2019年6月间在蚌埠市第一人民医院接受治疗尿毒症患者50例作为研究对象，行血液透析联合血液灌流，同时开展优质护理干预，比较护理干预前后患者睡眠质量评分、护理满意度。结果：护理干预后患者主观睡眠质量、睡眠持续性、习惯睡眠效率评分均显著高于干预前（P>0.05）。干预后患者满意度显著高于干预前（P>0.05）。结论：在尿毒症患者血液透析和血液灌流治疗中进行有效护理干预，可增强治疗效果，提升睡眠质量。

关键词 尿毒症;血液灌流;血液透析;睡眠质量;护理干预

Abstract Objective：To explore the clinical effect of nursing intervention on improving sleep quality in patients with uremia hemodialysis combined with hemoperfusion.Methods：A Total of 50 cases of uremic patients treated in our hospital from July 2018 to June 2019 were selected as research objects，and hemodialysis combined with hemoperfusion was performed，and quality nursing intervention was conducted at the same time，and sleep quality scores and nursing satisfaction of patients before and after nursing intervention were compared.Results：The scores of subjective sleep quality，sleep duration and habitual sleep efficiency after nursing intervention were significantly higher than before intervention（P>0.05）.Patients′ satisfaction after intervention was significantly higher than before intervention（P>0.05）.Conclusion：Effective nursing intervention in hemodialysis and hemoperfusion treatment of uremia patients can enhance the therapeutic effect and improve sleep quality.

Keywords Uremia; Hemoperfusion; Hemodialysis; Sleep quality; Nursing intervention

中图分类号：R338.63文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.03.058

尿毒症临床发生率较高，当前针对该疾病患者主要进行血液净化治疗，以改善患者生命质量和生存期。但患者在长期接受血液透析后易出现睡眠障碍，并因此造成生命质量下降[1]。部分研究认为，在尿毒症患者血液透析和血液灌流治疗中开展有效的护理干预可明显提升治疗效果，改善患者睡眠质量[2]。基于此，本研究选择收治尿毒症患者50例作为研究对象，所有患者均在我院接受血液透析和血液灌流治疗，在治疗同时进行优质护理干预，取得满意效果，现报道如下。

1 资料与方法

1.1 一般资料

选取2018年7月至2019年6月间在蚌埠市第一人民医院接受治疗尿毒症患者50例作为研究对象。其中男27例，女23例;年龄30～72岁，平均年龄（53.4±6.4）岁;病程1～14年，平均病程（4.5±2.3）年;原发病为肾小球肾炎19例，糖尿病肾病14例，高血压肾病11例，多囊肾5例。