Application and effect of nursing intervention in patients with end-stage renal diseasehemodialysis-induced skin itching
护理干预在终末期肾脏病血液透析致皮肤瘙痒患者中的应用及效果

摘要

目的 对终末期肾脏病（ESRD）接受血液透析后出现皮肤瘙痒情况的患者，对其实施针对性护理干预的所达到的临床作用与成效进行探究。方法 以2020年9月-2021年9月期间来医院就诊的68例终末期肾脏病患者，作为此次实验的目标对象，利用入院时间编号方法将其分为对照组（n=34，常规护理干预）与实验组（n=34，针对性护理干预），对比两组患者各项肾功能数据水平与自我管理能力评分。结果 护理后，实验组PSQI评分低于对照组（P<0.05）；躯体功能、认知功能、角色功能、情绪功能、社会功能和整体功能各项生活质量评分均高于对照组（P<0.05）。结论 对终末期肾脏病接受血液透析后出现皮肤瘙痒情况的患者，对其实施针对性护理干预，可显著抑制患者的瘙痒现象，增加预后质量，缩减住院周期，降低远期病死率，保障终末期肾脏病患者的生理与心理健康，该干预方式可在临床相似病例中普及、推广。

Abstract

Objective To explore the clinical effect and effect of targeted nursing intervention in patients with skin pruritus after hemodialysis for end-stage renal disease (ESRD).
Methods Taking 68 patients with end-stage renal disease who came to the hospital from September 2020 to September 2021 as the target object of this experiment, they were divided into control group (n=34, routine nursing intervention) and experimental group (n=34, targeted nursing intervention) by using the method of admission time numbering. The data levels of renal function and self-management ability scores of the two groups were compared.
Results after nursing, the PSQI score of the experimental group was lower than that of the control group (P<0.05); The scores of physical function, cognitive function, role function, emo- tional function, social function and overall function were higher than those in the control group (P<0.05).
Conclusion   for patients with skin pruritus after hemodialysis, targeted nursing intervention can significantly inhibit the pruritus of patients, increase the quality of prognosis, reduce the hospitalization cycle, reduce the long-term mortality, and ensure the physical and mental health of patients with end-stage renal disease. This intervention can be popularized and popularized in similar clinical cases.