Contemporary Nursing
Contemporary Nursing. 2025; 6: (8) ; 10.12208/j.cn.20250395 .
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贵州医科大学第二附属医院血透室 贵州凯里
*通讯作者: 郭湘黔,单位:贵州医科大学第二附属医院血透室 贵州凯里;
目的 探究赤龙搅海运动处方改善维持性血液透析(MHD)患者口渴感的护理效果。方法 选取80例MHD伴口渴患者为研究样本,时间范围2024年5月至2025年5月,随机数表法平均分组,即40例对照组、40例观察组,对照组采取常规护理,观察组在对照组基础上,采取赤龙搅海运动处方,对比两组口渴相关指标及体重增长情况。结果 干预后12周,观察组视觉模拟评分法(VAS)评分、口腔干燥评分量表(SXI)评分低于对照组,静态全唾液流率(UWS)高于对照组,且体重增长少于对照组,有统计学差异(P<0.05);干预前对比两组上述指标,无显著性差异(P>0.05)。结论 予以MHD伴口渴患者赤龙搅海运动处方效果显著,可改善患者口渴情况,增加唾液分泌量,控制患者体重增长。
Objective To explore the nursing effect of the Chilong Stirring the Sea exercise prescription in improving the thirst sensation of maintenance hemodialysis (MHD) patients. Methods Eighty patients with MHD accompanied by thirst were selected as the research samples. The time range was from May 2024 to May 2025. They were randomly and evenly divided into groups, namely 40 cases in the control group and 40 cases in the observation group, The control group received routine care, while the observation group was added with the prescription of Chilong Stirring the Sea exercise. The thirst conditions and weight gain of the two groups were compared. Results At 12 weeks after the intervention, the Visual Analogue Scale (VAS) score and Oral Dryness Scale (SXI) score of the observation group were lower than those of the control group, the static total salival flow rate (UWS) was higher than that of the control group, and the weight gain was less than that of the control group, with statistically significant differences (P < 0.05). There was no significant difference before the intervention (P > 0.05). Conclusion The prescription of the "Red Dragon Stirring the Sea" exercise for patients with MHD accompanied by thirst has a significant effect. It can improve the patients' thirst, increase saliva secretion, and control weight gain.
[1] 姜海龙,李唱,盖莹,等.血液透析患者口渴症状管理的最佳证据总结[J].中国血液净化,2024,23(09):716-720.
[2] 中国医师协会肾脏内科医师分会血液透析滤过质控指南工作组.血液透析滤过质量控制临床实践指南[J].中华医学杂志,2024,104(08):571-593.
[3] 李圣洁,郭琪,陈小雨.个性化运动处方对血液透析患者肌少症的作用和影响[J].中国医学科学院学报,2024, 46(02): 247-253.
[4] 季洁,徐艺琳,刘军,等.个体化预测维持性血液透析患者口渴风险的列线图模型建立[J].中国血液净化,2023, 22(02): 110-113+118.
[5] 陈文思,张红梅.维持性血液透析患者口渴现状及影响因素分析[J].中国血液净化,2023,22(01):64-67.
[6] 丁少楠.厌恶疗法在血透患者控制液体摄入依从性中的应用效果研究[J].云南医药,2022,43(04):46-48.
[7] 黄露露,丁劲,周巧玲,等.“赤龙搅海”运动处方对MHD患者口渴程度的改善效果[J].护理实践与研究,2023, 20(08):1209-1213.
[8] 段莉,何玉婷,李园.芦根泡水联合“赤龙搅海”缓解剖宫产术后产妇口渴感的临床观察[J].中国医学创新,2024, 21(35):79-82.