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目的观察人性化护理干预在老年冠心病患者血液透析中的应用效果。方法选取2012年3月—2016年3月在应城市人民医院行血液透析的老年冠心病患者80例,根据入院顺序分为对照组和观察组,每组40例。对照组患者给予常规护理,观察组患者在对照组基础上给予人性化护理。比较两组患者并发症发生率、护理前后焦虑自评量表(SAS)评分及抑郁自评量表(SDS)评分、护理满意度。结果观察组患者并发症发生率低于对照组(P<0.05)。两组患者护理前SAS评分、SDS评分比较,差异无统计学意义(P>0.05);观察组患者护理后SAS、SDS评分低于对照组(P<0.05)。观察组患者护理满意度优于对照组(P<0.05)。结论人性化护理干预在老年冠心病患者血液透析中的应用效果良好,可有效降低并发症发生率,改善患者焦虑、抑郁等不良情绪,提高患者护理满意度。
Objective To observe the effect of humanized nursing intervention on hemodialysis in elderly patients with coronary heart disease. Methods Eighty elderly patients with coronary heart disease undergoing hemodialysis at Yingcheng People’s Hospital from March 2012 to March 2016 were selected and divided into control group and observation group according to admission sequence, 40 cases in each group. Patients in the control group were given routine care, and patients in the observation group were given humane care on the basis of the control group. Comparisons were made between the two groups in complication rates, before and after care anxiety self-rating scale (SAS) and depression self-rating scale (SDS) scores, nursing satisfaction. Results The incidence of complication in observation group was lower than that in control group (P <0.05). There was no significant difference in SAS scores and SDS scores between the two groups before treatment (P> 0.05). SAS and SDS scores in the observation group were lower than those in the control group (P <0.05). The nursing satisfaction of patients in observation group was better than that of control group (P <0.05). Conclusion The application of humanized nursing intervention in hemodialysis of elderly patients with coronary heart disease is effective, which can effectively reduce the incidence of complications and improve anxiety, depression and other negative emotions, and improve patient satisfaction.