肾脏病合并冠心病患者冠状动脉介入术后血液透析中的综合护理

蔡东亚; 郝亚莉

doi:10.7619/jcmp.201924030

肾脏病合并冠心病患者冠状动脉介入术后血液透析中的综合护理

Comprehensive nursing for hemodialysis after percutaneous coronary intervention in kidney disease patients with coronary heart disease

摘要

摘要:
目的探讨综合护理对肾脏病合并冠心病患者行冠状动脉介入(PCI)术后血液透析的应用效果。
方法选取冠心病合并肾脏病患者34例，通过冠状动脉介入术(PCI)后进行透析支持，随机分为观察组和对照组各17例，对照组采用常规护理，观察组应用综合护理，比较2组护理效果。
结果在简明健康状况调查量表(SF-36)评分上，观察组优于对照组(P < 0.05); 症状自评量表(SCL-90)评分上，观察组低于对照组(P < 0.05); 并发症发生率方面，观察组为5.88%低于对照组的23.53%(P < 0.05)。
结论针对冠心病合并肾脏病患者PCI术后透析支持中给予综合护理，对患者症状有改善效果，减少了并发症的发生，患者生活质量改善显著。

Abstract:
Objective To explore the effect of comprehensive nursing during hemodialysis in kidney disease patients combined with coronary heart disease undergoing percutaneous coronary intervention (PCI).
Methods A total of 34 coronary heart disease patients combined with kidney disease undergoing hemodialysis after PCI were randomly divided into two groups. The control group(n=17) used routine nursing, while the observation group(n=17) was given comprehensive nursing. The nursing effects of the two groups were compared.
Results The observation group was better in 36-item Short-form Health Survey (SF-36) score, and lower in Symptom Checklist-90 (SCL-90) scores than that in the control group (P < 0.05); the observation group had lower incidence of complications than the control group (5.88% vs. 23.53%, P < 0.05).
Conclusion Comprehensive nursing can significantly improve symptoms, reduce incidence of complications and improve quality of life for hemodialysis patients with coronary heart disease and kidney disease after PCI.

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