The effect of evidence-based nursing in hemodialysis care for patients with chronic renal failure
循证护理在慢性肾功能衰竭患者血液透析护理中的效果

摘要

目的 探究慢性肾功能衰竭患者血液透析期间实施循证护理的价值。方法 随机将本院收治84例行血液透析治疗的慢性肾功能衰竭患者分为2组（入选时段2023年7月~2024年7月），42例归入对照组采取常规护理，另42例归入观察组采取循证护理。根据情绪状态、自护能力、生活质量评价2组干预效果。结果 干预后焦虑自评量表（SAS）、抑郁自评量表（SDS）对比，观察组各项评分较对照组减少（P＜0.05）。干预后自我护理能力测定量表（ESCA）、肾脏疾病相关生存质量量表（KDTA）对比，观察组各项评分较对照组增加（P＜0.05）。结论 慢性肾功能衰竭患者血液透析期间实施循证护理可减轻负性情绪，提高自我护理能力，改善生活质量。

Abstract

Objective To explore the value of implementing evidence-based nursing during hemodialysis in patients with chronic renal failure.
Methods 84 cases of chronic renal failure patients treated with hemodialysis in our hospital were randomly divided into two groups (selected period from July 2023 to July 2024). 42 cases were assigned to the control group for routine care, and the other 42 cases were assigned to the observation group for evidence-based care. Evaluate the intervention effects of two groups based on emotional state, self-care ability, and quality of life. After intervention, the comparison of the Self Rating Anxiety Scale (SAS) and Self Rating Depression Scale (SDS) showed that the scores in the observation group decreased compared to the control group (P<0.05).
Results the self-care ability assessment scale (ESCA) and the kidney disease-related quality of life scale (KDTA) were compared, and the scores of each item in the observation group increased compared to the control group (P<0.05).
Conclusion   Implementing evidence-based nursing during hemodialysis in patients with chronic renal failure can alleviate negative emotions, improve self-care abilities, and enhance their quality of life.