简介：　　 [摘要 ] 目的 探讨对血液透析患者给予全方位护理干预后对管路凝血以及安全性产生的影响。 方法 方便选择该院于 2017年 12月— 2019年 10月收治的 130例血液透析患者作为实验对象 ;抽签法分组后明确各组护理干预措施 ;对照组（ 65例）：選择常规护理干预措施展开 ;观察组（ 65例）：选择常规护理干预措施 +全方位护理干预措施展开 ;对比管路凝血率、并发症总发生率、护理态度评分、护理细节评分、护理专业性评分以及总满意度评分。结果 观察组血液透析患者管路凝血率（ 1.54%）低于对照组（ 10.77%）明显，差异有统计学意义（ χ2=4.795 1， P<0.05） ;观察组血液透析患者并发症总发生率（ 3.08%）低于对照组（ 16.92%）明显，差异有统计学意义（ χ2=6.923 1， P<0.05），观察组血液透析患者护理态度评分、护理细节评分、护理专业性评分以及总满意度评分均高于对照组明显，差异有统计学意义（ t=21.587 0、 26.654 6、 19.428 7、 22.529 3， P<0.05）。结论 血液透析患者在接受护理期间，全方位护理干预措施的有效应用，对于管路凝血率的降低，安全性的提升，护理态度评分、护理细节评分、护理专业性评分以及总满意度评分提升，可获得明显效果，最终对血液透析患者预后水平的改善，奠定基础。  　　 [关键词 ] 全方位护理干预 ;血液透析 ;管路凝血 ;安全性 ;护理满意度评分 

简介：　　【摘要】 目的 探讨并分析心理护理对血液透析治疗的作用效果。方法 此次研究的对象是选择我院接收的 82例血液透析患者，将其临床资料进行回顾性分析，并作对照实验， 41例对照组患者只接受常规的透析护理，而观察组的 41例患者除了接受与对照组相同的护理干预外，还接受心理护理，对比两组患者的透析后不良情绪反应和并发症情况。结果 观察组患者透析后没有出现过激的不良情绪，但是对照组患者比较焦躁，有严重的不适症状；对照组患者在透析中有胸痛、心律失常、高血压等症状出现，但观察组中几乎没有出现这些并发症。结论 对接受血透的患者进行心理护理，可以提高患者的舒适度，减少不良情绪的影响和并发症的出现，治疗效果比较好。  　　【关键词】 心理护理；血液透析；不良情绪；尿毒症  Objective to explore and analyze the effect of psychological nursing on hemodialysis. Methods the object of this study was to select 82 hemodialysis patients received by our hospital. The clinical data were analyzed retrospectively, and the control experiment was performed. 41 patients in the control group received only routine dialysis care, while the 41 patients in the observation group received psychological care in addition to the same nursing intervention as the control group. The adverse reactions and complications after dialysis were compared between the two groups. Results the patients in the observation group had no extreme bad mood after dialysis, but the patients in the control group were more anxious and had serious discomfort symptoms. The patients in the control group had symptoms such as chest pain, arrhythmia and hypertension during the dialysis, but there was almost no complication in the observation group. Conclusion psychological nursing for patients receiving hemodialysis can improve the patient's comfort, reduce the influence of bad mood and the occurrence of complications, and the therapeutic effect is better.

简介：　　 [摘要 ] 目的 研究并探讨糖尿病性慢性肾功能衰竭的血液透析护理。 方法 此次研究的对象是选择该院于 2015年 12月— 2016年 12月期间 116例行血液透析治疗的糖尿病性慢性肾功能衰竭患者，将其临床资料进行回顾性分析，并依据护理方案的不同设为 2组，其中行常规护理的 51例设为对照组，行综合性护理的 65例设为观察组，比较两组护理后心理状态及并发症情况。 结果 与护理前比较，护理后两组 SDS、 SAS评分均显著降低，但观察组下降幅度优于对照组（ P<0.05）；对照组并发症总发生率较观察组更高（ P<0.05）。结论 综合护理应用于行血液透析治疗的 DCRF患者可有效缓解其心理状态，并减少并发症发生，可被临床推广应用。  　　 [关键词 ] 糖尿病；血液透析；慢性肾功能衰竭；护理  　 [Objective] to study and discuss the hemodialysis nursing of diabetic chronic renal failure. Methods the object of this study was to select 116 patients with diabetic chronic renal failure during the period from December 2015 to December 2016. The clinical data were analyzed retrospectively, and 2 groups were set up according to the different nursing plans, of which 51 cases of conventional nursing were set as control group, and comprehensive protection was performed. 65 cases of physical education were set as observation group, and two groups were compared with mental state and complications after nursing. Results compared with before nursing, the scores of SDS and SAS in the two groups were significantly lower after nursing, but the decrease of the observation group was better than that of the control group (P<0.05), and the total incidence of complications in the control group was higher than that in the observation group (P<0.05). Conclusion comprehensive nursing for hemodialysis patients with DCRF can effectively alleviate their psychological state and reduce complications, which can be widely applied in clinical practice.

简介：摘要目的探究血液透析患者动静脉内瘘的护理疗效,方法对我院2103年1月—2014年1月的48例进行血液透析患者的护理进行回顾性分析。结果48例内瘘应用良好,4例内瘘狭窄,2例血管栓塞,占此分别为8.3%和4.1%,其中使用内瘘最长者3年。结论强化血液透析患者的动静脉内瘘护理,能够有效保证透析效果,提高患者生命质量。

简介：摘要目的研究肾衰竭患者血清蛋白、甲状腺激素实际的检测的临床应用变化。方法选取入院治疗的患者100例，其中有50例患者为急性患者，50例患者为慢性患者。将两组患者标记为一组和二组，三组患者50例为正常患者。对比三组患者的甲状腺激素、尿酸、血清蛋白水平。结果三组患者显示，一组血清铁蛋白高于二组和对照组，二组和对照组的血清蛋白相同，P<0.05，具有统计学意义标准。二组的甲状腺激素检测水平高于一组和对照组，一组和对照组的甲状腺激素检测水平没有差异性变化，P<0.05，具有统计学意义标准。结论结果显示血清蛋白的变化与急性肾衰竭患者有直接关系，甲状腺激素变化与慢性肾衰竭患者有直接关系。