[email protected]

当代护理

Contemporary Nursing

您当前位置:首页 > 精选文章

Contemporary Nursing. 2025; 6: (5) ; 10.12208/j.cn.20250251 .

Analysis of the influence of continuous nursing based on 5E rehabilitation mode on calcium and phosphorus metabolism in hemodialysis patients with uremia
基于5E康复模式的延续护理,对尿毒症血液透析患者钙磷代谢的影响分析

作者: 许艳华 *, 郑玮, 田自艳

甘肃省中医院 甘肃兰州

*通讯作者: 许艳华,单位:甘肃省中医院 甘肃兰州;

引用本文: 许艳华, 郑玮, 田自艳 基于5E康复模式的延续护理,对尿毒症血液透析患者钙磷代谢的影响分析[J]. 当代护理, 2025; 6: (5) : 122-124.
Published: 2025/5/30 14:44:29

摘要

目的 观察接受血液透析治疗的尿毒症患者在基于5E康复模式的延续护理干预下,钙磷代谢的影响变化。方法 自2024年6月至2024年12月在本院接受血液透析治疗的尿毒症患者中随机抽取70例作为研究对象,根据研究方案将患者随机分入对照组及观察组,对照组患者仅接受常规护理干预,观察组基于5E康复模式接受延续护理干预,对比两组患者钙磷代谢钙磷代谢情况及并发症发生率。结果 观察组患者钙磷代谢情况明显优于对照组患者,且并发症发生率低于对照组患者(P<0.05)。结论 基于5E康复模式下的延续护理,在尿毒症患者接受血液透析全程进行护理干预,对于患者钙磷代谢改善情况有非常明显的作用,且能降低患者出现不良反应的概率。

关键词: 基于5E康复模式的延续护理;尿毒症血液透析;钙磷代谢

Abstract

Objective To observe the changes of calcium and phosphorus metabolism in uremia patients receiving hemodialysis treatment under continuous nursing intervention based on 5E rehabilitation model.
Methods From June 2024 to December 2024, 70 patients with uremia who received hemodialysis treatment in our hospital were randomly selected as research objects, and the patients were randomly divided into control group and observation group according to the research plan. The patients in the control group only received routine nursing intervention, while the observation group received continuous nursing intervention based on the 5E rehabilitation mode. Calcium and phosphorus metabolism and complication rate were compared between the two groups.
Results The calcium and phosphorus metabolism in observation group was significantly better than that in control group, and the complication rate was lower than that in control group (P<0.05).
Conclusion   Based on the continuous nursing under the 5E rehabilitation mode, nursing intervention in the whole process of uremia patients receiving hemodialysis has a very obvious effect on the improvement of calcium and phosphorus metabolism of patients, and can reduce the probability of adverse reactions in patients.

Key words: Continuous nursing based on 5E rehabilitation model; Uremic hemodialysis; Calcium and phosphorus metabolism

参考文献 References

[1] 刘静,王莉娟,李娟,王冰.三维一体延续性护理干预对血液透析患者透析效果、心理状态及并发症的影响[J].现代中西医结合杂志,2024,33(22):3182-3185.

[2] 王芹.基于5E康复模式的延续性护理对尿毒症血液透析患者肾功能的影响[J].名医,2024,(15):144-146.

[3] 徐娇瑾,周悦娴,徐芳.基于5E康复模式的延续护理对尿毒症血液透析患者肾功能的影响[J].中西医结合护理(中英文),2023,9(03):184-186.

[4] 陈琰,吴婷,李情亚,陈茹婧,殷玲佳,丁洁,吴晶.延续性护理对维持性血液透析高血压合并尿毒症患者的应用效果研究[J].中西医结合心血管病电子杂志,2022, 10(32): 115-118.

[5] 段昱杰,王蒙,付迎春.基于5E康复模式的延续护理对尿毒症血液透析患者钙磷代谢的影响[J].保健医学研究与实践,2022,19(03):47-50.

[6] 张莹莹,麦倩婷,林展华,梁艳萍.延续护理对自动化腹膜透析治疗尿毒症合并心力衰竭患者的临床效果[J].中外医疗,2021,40(32):146-150.

[7] 张小琴,梁艳,段晓芬,陈晓.医院-家庭一体化护理对尿毒症血液透析患者治疗依从性及预后的影响[J].齐齐哈尔医学院学报,2021,42(05):459-461.

[8] 尹楠,许冬菊,丁平.延续联合家庭护理对尿毒症血液净化患者并发症的影响评价[J].中国医药指南,2021, 19(02): 143-144+147.

[9] 王洁,郑燕.微信平台延续性护理干预对尿毒症维持性血液透析患者营养状态及护理服务满意度的影响[J].临床医学工程,2020,27(12):1661-1662.

[10] 林芷珊,陈华建,赖巧梅,欧思余,张迪.延续性护理对尿毒症血液透析患者自护能力、生活质量及预后的影响[J].齐齐哈尔医学院学报,2020,41(17):2234-2235.