Application and nursing effect of bedside intermittent hemodialysis in elderly patientswith severe renal failure
床边间歇性血液透析在老年重症肾衰竭患者中的应用及护理效果观察

摘要

目的 为了解床边间歇性血液透析的临床护理效果，我院将其应用到老年重症肾衰竭患者的治疗护理中，观察对比其效果。方法 研究选择2021年8月-2022年8月我院收治的70例老年重症肾衰竭患者，将70例患者随机分为对照组（35例）、观察组（35例），并采用不同方法进行护理干预。其中，对照组患者采用常规护理方案，观察组患者在常规护理方案的基础上进行了综合护理干预。对比对照组和观察组患者的心率、尿素氮水平等，还要基于急性生理和慢性健康评分量表对患者进行综合评价，并对比分析两组患者对护理工作的满意度。结果 经研究对比，对照组患者和观察组患者的心率、尿素氮等指标无明显差异，P>0.05；相较于对照组，观察组患者出现不良事件的概率相对较低，两组差异明显，P<0.05。同时，在相关评估指标上观察组患者比对照组患者的评分要低，而且他们对护理服务的满意度高于对照组患者，两组数据差异明显，P<0.05。结论 相比于常规护理方案，床边间歇性血液透析在临床治疗和护理中的效果更佳，不仅能减少不良事件的发生，还能增加患者对护理工作的满意度，可以更好改善其生活水平。

Abstract

Objective In order to understand the clinical nursing effect of bedside intermittent hemodialysis, our hospital applies it to the treatment and nursing of elderly patients with severe renal failure to observe and compare its effects.
Methods The study selected 70 elderly patients with severe renal failure admitted to our hospital from August 2021 to August 2022, and randomly divided 70 patients into control group (35 cases) and observation group (35 cases), and used different methods for nursing intervention. Among them, the patients in the control group adopted the routine nursing plan, and the patients in the observation group carried out comprehensive nursing intervention on the basis of the routine nursing plan. The heart rate, urea nitrogen level, etc. of patients in the control group and the observation group should be comprehensively evaluated based on the acute physiological and chronic health score scale, and the satisfaction of the two groups of patients with nursing work should be compared and analyzed.
Results After comparing the study, there was no significant difference in heart rate, urea nitrogen and other indicators between the patients in the control group and the observation group, P>0.05; compared with the control group, the probability of adverse events in the patients in the observation group was relatively low, and the difference between the two groups was obvious, P<0.05. At the same time, the score of the patients in the observation group was lower than that of the patients in the control group on the relevant evaluation indicators, and their satisfaction with nursing services was higher than that of the patients in the control group. The data of the two groups was significantly different, P<0.05.
Conclusion   Compared with conventional nursing plans, bedside intermittent hemodialysis is more effective in clinical treatment and nursing, which can not only reduce the occurrence of adverse events, but also increase patients' satisfaction with nursing work and better improve their living standards.