摘要
目的探讨递进式目标护理联合营养护理对尿毒症血液透析患者负性情绪、营养状况及自我管理能力的影响。方法选取本院2018年2月至2020年12月收治的96例尿毒症血液透析患者作为研究对象,按照随机数字表法将其分为对照组和观察组,各48例。对照组给予常规护理干预,观察组给予递进式目标护理联合营养护理干预。比较两组的负性情绪、营养状况及自我管理能力。结果干预后,两组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于干预前,且观察组低于对照组(P<0.05)。干预后,两组的血清血红蛋白(HGB)、白蛋白(ALB)、转铁蛋白(TRF)水平均高于干预前,且观察组高于对照组(P<0.05)。干预后,两组的自我管理能力各维度评分及总分均高于干预前,且观察组高于对照组(P<0.05)。结论递进式目标护理干预联合营养护理应用于尿毒症血液透析患者中,可改善负性情绪及营养状况,提高自我管理能力,值得推广。
Objective To investigate the effects of progressive target nursing combined with nutritional nursing on negative emotion,nutritional status and self-management ability of uremic hemodialysis patients.Methods A total of 96uremic hemodialysis patients admitted in our hospital from February 2018 to December 2020 were selected as the research objects and divided into control group and observation group according to the random number table method,with 48 cases in each group.The control group was given routine nursing intervention,while the observation group was given progressive target nursing combined with nutritional nursing intervention.The negative emotion,nutritional status and self-management ability were compared between the two groups.Results After intervention,the Self-Rating Anxiety Scale(SAS)and SelfRating Depression Scale(SDS)scores of the two groups were lower than those before intervention,and those of the observation group were lower than the control group(P<0.05).After intervention,the levels of serum hemoglobin(HGB),albumin(ALB)and transferrin(TRF)in the two groups were higher than those before intervention,and those in the observation group were higher than the control group(P<0.05).After intervention,the scores of all dimensions and total score of self-management ability in the two groups were higher than those before intervention,and those in the observation group were higher than the control group(P<0.05).Conclusion Progressive target nursing combined with nutritional nursing applied to uremic hemodialysis patients can ameliorate negative emotion and nutritional status,and improve self-management ability,which is worthy of promotion.
作者
杨秀玲
张婉金
YANG Xiuling;ZHANG Wanjin(Nephrology Department,Taikang Xian People's Hospital,Zhoukou 461400;Blood Transfusion Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)
出处
《临床医学研究与实践》
2022年第30期187-189,共3页
Clinical Research and Practice
关键词
递进式目标护理
营养护理
尿毒症
血液透析
负性情绪
营养状况
自我管理能力
progressive target nursing
nutritional nursing
uremia
hemodialysis
negative emotion
nutritional status
self-management ability
