Effect of detailed nursing on skin pruritus in patients with uremia treated with hemodialysis combined with hemoperfusion
细节护理对血液透析联合血液灌流治疗尿毒症患者皮肤瘙痒的效果

摘要

目的 探讨血液透析联合血液灌流治疗尿毒症患者予以细节护理对皮肤瘙痒的改善效果。方法 本研究选取2023年1月~12月我院收治的56例接受血液透析联合血液灌流治疗尿毒症伴随皮肤瘙痒患者，以1~6月作为参照组（28例），使用常规护理干预，以7~12月作为实验组（28例），使用细节护理干预，对比两组患者皮肤瘙痒、护理满意、不良情绪等评分。结果 实验组患者护理后皮肤瘙痒评分以及焦虑、抑郁情绪评分较参照组有可观下降，有差异（P＜0.05）；实验组环境舒适度、健康等护理满意评分较参照组有可观上升，有差异（P＜0.05）。结论 在血液透析联合血液灌流治疗尿毒症伴随皮肤瘙痒患者中，予以细节护理干预，可以有效减少患者皮肤瘙痒程度，改善患者焦虑等不良情绪，提高其护理满意度，值得推广。

Abstract

Objective To explore the effect of detailed nursing on skin pruritus in patients with uremia treated with hemodialysis combined with hemoperfusion.
Methods This study selected 56 patients with uremia accompanied by skin pruritus who were admitted to our hospital from January to December 2023 and received hemodialysis combined with hemoperfusion for treatment. The 1st to 6th month was used as the reference group (28 cases), and conventional nursing intervention was used. The 7th to 12th month was used as the experimental group (28 cases), and detailed nursing intervention was used. The scores of skin pruritus, nursing satisfaction, and negative emotions of the two groups of patients were compared.
Results The skin pruritus score, anxiety and depression score of the experimental group after nursing were significantly reduced compared with those of the reference group, and there were differences (P＜0.05); the nursing satisfaction scores of the experimental group, such as environmental comfort and health, were significantly increased compared with those of the reference group, and there were differences (P＜0.05).
Conclusion   In patients with uremia accompanied by skin pruritus treated with hemodialysis combined with hemoperfusion, detailed nursing intervention can effectively reduce the degree of skin pruritus, improve patients' anxiety and other negative emotions, and improve their nursing satisfaction, which is worthy of promotion.