集束化护理干预在维持性血液透析中应用效果.docVIP

集束化护理干预在维持性血液透析中应用效果 　　[摘要] 目的 探讨集束化护理干预在维持性血液透析中的应用效果。 方法 选择陕西省友谊医院2012年1月～2013年1月进行维持性血液透析患者100例临床资料，依据护理措施不同分为常规护理组50例和集束化护理组50例。观察两组维持性血液透析患者血液透析依从性、生活习惯依从性、饮食依从性和运动依从性情况，观察两组维持性血液透析患者透析前血压、透析过程中血压、透析前血钠浓度、透析后血钠浓度、透析前体温、透析过程中体温情况。 结果 两组患者透析前血压、透析前血钠浓度、透析后血钠浓度、透析前体温差异无统计学意义（P 0.05）；集束化护理组血液透析依从性、生活习惯依从性、饮食依从性和运动依从性均高于常规护理组，集束化护理组透析过程中血压、透析过程中体温均优于常规护理组，差异均有统计学意义（P 　　[关键词] 集束化；护理干预；维持性血液透析 　　[中图分类号] R459.5 [文献标识码] B [文章编号] 1673-7210（2014）08（a）-0125-04 　　Application effect of hemodialysis by cluster nursing intervention 　　LIANG Ying 　　Shaanxi Friendship Hospital， Shaanxi Province， Xian 710068， China 　　[Abstract] Objective To investigate application result detection of hemodialysis by cluster nursing intervention. Methods 100 cases of hemodialysis patients in Shaanxi Friendship Hospital from January 2012 to January 2013 were selected and divided into conventional nursing group with 50 cases and cluster based nursing group with 50 cases. The hemodialysis compliance， living habits compliance， dietary compliance， exercise adherence of two groups were detected， the blood pressure before dialysis， blood pressure during dialysis， serum sodium concentration before dialysis， serum sodium concentrations after dialysis， body temperature before dialysis， temperature in the process of dialysis of two groups were detected. Results The differences of blood pressure before dialysis， serum sodium concentration before dialysis， serum sodium concentrations after dialysis， body temperature before dialysis of two groups were not statistically significant （P 0.05）. Hemodialysis compliance， living habits compliance， dietary compliance， exercise adherence of cluster based nursing group were higher than those of conventional nursing group， the temperature in the process of dialysis， blood pressure during dialysis of cluster based nursing group were higher than those of conventional nursing group， the differences were statistically significant （P 　　1 资料与方法 　　1.1 一般资料 　　选取陕西省友谊医院2012年1月