血液透析结合血液灌流及护理干预影响尿毒症患者睡眠质量(1)
摘要 目的：探討尿毒症患者接受血液透析和血液灌流治疗期间的护理方法，结合患者的睡眠质量进行评价。方法：选取2017年7月至2019年2月期间于吉林省舒兰市人民医院肾病内科接受诊疗的尿毒症患者68例作为研究对象，分为观察组(护理干预)和对照组(常规护理)，每组34例，观察2组患者的护理效果。结果：与护理前比较，护理后2组患者睡眠质量和情绪状态均得到良好的改善，匹茨堡睡眠质量指数量表(PSQI)评分、焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分显著降低(P<0.05)。与对照组比较，观察组患者的PSQI评分[(6.51±1.94)分<(8.72±2.05)分]、SAS评分[(38.19±3.64)分<(47.74±3.55)分]和SDS评分[(39.25±3.43)分<(49.21±3.89)分]相对更低(P<0.05)，而患者对于护理效果的满意率(94.12%>73.53%)相对更高(P<0.05)。结论：尿毒症患者接受血液透析和血液灌流治疗期间的护理干预，能够有效改善患者的身心状态，消除干扰睡眠的相关因素，进而提高其睡眠质量。
关键词 血液透析;血液灌流;护理干预;尿毒症;睡眠质量
Effect of Hemodialysis Combined with Hemoperfusion and Nursing Intervention on Sleep Quality of Uremic Patients
YU Wenna
(Department of Nephrology，Shulan people′s Hospital，Jilin Province，Shulan 132600，China)
Abstract Objective：To explore the nursing methods of uremia patients receiving hemodialysis and hemoperfusion treatment，and to evaluate the sleep quality of the patients.Methods：A Total of 68 cases of uremia patients who received treatment in our hospital from July 2017 to February 2019 were selected as research objects，and 34 cases were divided into observation group(nursing intervention)and control group(routine nursing)，to observe the nursing effect of the two groups of patients.Results：Compared with before and after nursing，the sleep quality and emotional state of patients in the two groups were improved，and the scores of PSQI，SAS and SDS were significantly reduced(P<0.05).Compared with the control group，PSQI score(6.51±1.94)<(8.72±2.05)，SAS score(38.19±3.64)<(47.74±3.55)and SDS score(39.25±3.43)<(49.21±3.89)were lower(P<0.05)，while the satisfaction rate of patients with nursing effect(94.12%>73.53%)was higher(P<0.05).Conclusion：The nursing intervention during hemodialysis and hemoperperfusion can effectively improve the physical and mental state of patients with uremia，eliminate the factors that interfere with sleep，and thus improve their sleep quality., http://www.100md.com(于文娜)
关键词 血液透析;血液灌流;护理干预;尿毒症;睡眠质量
Effect of Hemodialysis Combined with Hemoperfusion and Nursing Intervention on Sleep Quality of Uremic Patients
YU Wenna
(Department of Nephrology，Shulan people′s Hospital，Jilin Province，Shulan 132600，China)
Abstract Objective：To explore the nursing methods of uremia patients receiving hemodialysis and hemoperfusion treatment，and to evaluate the sleep quality of the patients.Methods：A Total of 68 cases of uremia patients who received treatment in our hospital from July 2017 to February 2019 were selected as research objects，and 34 cases were divided into observation group(nursing intervention)and control group(routine nursing)，to observe the nursing effect of the two groups of patients.Results：Compared with before and after nursing，the sleep quality and emotional state of patients in the two groups were improved，and the scores of PSQI，SAS and SDS were significantly reduced(P<0.05).Compared with the control group，PSQI score(6.51±1.94)<(8.72±2.05)，SAS score(38.19±3.64)<(47.74±3.55)and SDS score(39.25±3.43)<(49.21±3.89)were lower(P<0.05)，while the satisfaction rate of patients with nursing effect(94.12%>73.53%)was higher(P<0.05).Conclusion：The nursing intervention during hemodialysis and hemoperperfusion can effectively improve the physical and mental state of patients with uremia，eliminate the factors that interfere with sleep，and thus improve their sleep quality., http://www.100md.com(于文娜)
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