护理指导对肾衰竭血液透析病人高磷血症的干预效果分析.docx

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护理指导对肾衰竭血液透析病人高磷血症的干预效果分析

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摘要：目的：通过分析探讨对肾衰竭血液透析病人高磷血症的护理指导干预分析，为其提供相关的优质护理措施与实际医学依据。方法：将我院收治的80例患者作为研究对象，随机分为观察组和对照组，每组各40例，其中对照组实施常规护理，观察组加强高磷血症的护理指导，比较两组病人干预后高磷血症健康知识得分、血磷、钙磷乘积。结果：观察组在疾病知识、饮食知识、服药知识等方面的得分均高于对照组，干预后3个月的血磷、钙磷乘积均低于对照组。观察组的环境因子、社会因子以及生活质量总分均高于对照组，差异有统计学意义（P0.05)。结论：在肾衰竭高磷血症患者进行血液透析的治疗中给予相关护理指导可提高患者治疗配合度，改善患者的生化指标，值得临床推广。

关键词：肾衰竭血液透析；高磷血症；护理干预

Nursingguidanceinterventionaleffectonhyperphosphatemiainhemodialysispatientswithrenalfailure

Abstract:Objective:Toanalyzethenursinginterventionalanalysisofhyperphosphatemiainhemodialysispatientswithrenalfailureandproviderelevanthigh-qualitynursingmeasuresandpracticalmedicalevidence.Methods:Eightypatientstreatedinourhospitalwererandomlypidedintoobservationgroupandcontrolgroup,40casesineachgroup.Thecontrolgroupwasgivenroutinenursingandtheobservationgroupwasgivennursingguidanceonhyperphosphatemia.ThetwogroupswerecomparedAftertheinterventionofpatientswithhyperphosphatemiahealthknowledgescore,phosphorus,calciumandphosphorusproducts.Results:Thescoresofdiseaseknowledge,dietknowledgeandmedicationknowledgeoftheobservationgroupwerehigherthanthoseofthecontrolgroup.Theproductsofphosphorus,calciumandphosphorusoftheobservationgroupwerelowerthanthoseofthecontrolgroup3monthsaftertheintervention.Theenvironmentalfactors,socialfactorsandqualityoflifeintheobservationgroupwerehigherthanthoseinthecontrolgroup,thedifferencewasstatisticallysignificant(P0.05).Conclusion:Nursingcareinpatientswithrenalfailureandhyperphosphatemiawhenhemodialysistreatmentisgivennursinginstructioncanimprovethepatientswiththedegreeofcooperationandimprovethebiochemicalindicatorsofpatientsworthyofclinicalpromotion.

Keywords:renalfailurehemodialysis;hyperphosphatemia;nursingintervention

前言：血液透析(血透)是慢性肾病患者维持生命的重要手段，其是以弥散和渗透为原理来清除体内的代谢废物、维持电解质和酸碱平衡，可替代肾脏的部分功能，改善患者部分尿毒症症状，延长生存期慢性肾衰竭病人常伴有矿物质和骨代谢异常，因此，高磷血症的发生率较高。据相关报道其发生率为40%-50%。高磷血症的出现可导致肾性骨病、甲状腺功能亢进，而且增高的血清磷与透析病人心血管并发症的发生、发展密切相关，增加了病人死亡的风险。高血磷与血液透析患者心血管并发症的发生、发展密切相关，是血透患者死亡的独立危险因素。不可否认血透，可提高患者的术后康复水平和生活质