Analysis of the impact of comprehensive nursing on the purification effect and quality of life of uremic blood purification patients
综合护理对尿毒症血液净化患者的净化效果及生活质量的影响分析

摘要

目的 探讨分析综合护理对尿毒症血液净化患者的净化效果及生活质量的影响。方法 研究对象的选择主要为2022年4月~2023年12月在透的尿毒症患者，所选的患者例数为80例，随机分组时以系统法为标准，其中40例患者予以常规护理作为对照组，另40例患者予以综合护理干预作为观察组。最后收集两组患者的血液净化效果、生活质量评分、护理满意度以及情绪状态方面的数据，然后对比分析。结果 观察组的各项血液净化指标明显低于对照组，组间比较形成统计学价值（P＜0.05）；相比于对照组，观察组的生活质量评分明显更高，2组的数据存在强烈的比对性，P值＜0.05；进行满意度调查，观察组患者的满意度（39/40，97.50%），显著高于对照组（32/40，80.00%），具有统计学差异（P＜0.05）；观察组在干预前的HAMA、HAMD评分值与对照组无差异（P>0.05），干预后，观察组明显优于对照组，对比差异显著。结论 对于尿毒症血液净化患者，综合护理干预具有较高的应用价值，不仅可以将血液净化效果提升上来，而且也可以给予患者生活质量一定的保证，确保患者良好的护理满意度，同时有效改善患者的情绪状态。

Abstract

Objective: To explore and analyze the effect of comprehensive nursing on the purification efficiency and quality of life of patients with uremia undergoing blood purification. The selection of research subjects was mainly focused on 80 uremic patients who underwent dialysis from April 2022 to December 2023. The systematic method was used as the standard for random grouping, with 40 patients receiving routine nursing as the control group and another 40 patients receiving comprehensive nursing intervention as the observation group. Finally, collect data on the blood purification effect, quality of life score, nursing satisfaction, and emotional state of two groups of patients, and compare and analyze them. The results showed that the various blood purification indicators in the observation group were significantly lower than those in the control group, and the comparison between the groups formed statistical value (P<0.05); Compared with the control group, the quality of life score of the observation group was significantly higher, and there was a strong comparability between the data of the two groups, with a P value<0.05; A satisfaction survey was conducted, and the satisfaction rate of the observation group patients (39/40, 97.50%) was significantly higher than that of the control group (32/40, 80.00%), with statistical differences (P<0.05); The HAMA and HAMD scores of the observation group before intervention were not significantly different from those of the control group (P>0.05). After intervention, the observation group was significantly better than the control group, and the difference was significant.
Conclusion  : For patients with uremia undergoing blood purification, comprehensive nursing intervention has high application value. It can not only improve the blood purification effect, but also provide patients with a certain guarantee of quality of life, ensure good nursing satisfaction, and effectively improve their emotional state.