1.Application and nursing of combined artificial kidney in patients with chronic renal failure
Journal of Clinical Medicine in Practice 2017;21(8):55-57
Objective To explore the effect and nursing of combined artificial kidney in chronic renal failure patients.Methods A total of 84 CRF cases in our hospital were divided into study group and control group by random number table method,with 42 cases per group.The control group was treated with hemodialysis and conventional nursing,and the study group was treated with combination of artificial kidney based on the control group.Results The total effective rate of the study group was 85.71%,which was higher than 64.29% in the control group (P <0.05).The incidence of adverse reactions in the study group was 4.76%,which was lower than 19.05% in the control group (P < 0.05).The nursing satisfaction of the study group was 100%,which was higher than 83.33% of the control group (P < 0.05).Conclusion CRF patients with combination of artificial kidney therapy and targeted nursing intervention can effectively improve the clinical efficacy,and reduce the probability of adverse reactions,and strengthen the nursing satisfaction.
2.Application and nursing of combined artificial kidney in patients with chronic renal failure
Journal of Clinical Medicine in Practice 2017;21(8):55-57
Objective To explore the effect and nursing of combined artificial kidney in chronic renal failure patients.Methods A total of 84 CRF cases in our hospital were divided into study group and control group by random number table method,with 42 cases per group.The control group was treated with hemodialysis and conventional nursing,and the study group was treated with combination of artificial kidney based on the control group.Results The total effective rate of the study group was 85.71%,which was higher than 64.29% in the control group (P <0.05).The incidence of adverse reactions in the study group was 4.76%,which was lower than 19.05% in the control group (P < 0.05).The nursing satisfaction of the study group was 100%,which was higher than 83.33% of the control group (P < 0.05).Conclusion CRF patients with combination of artificial kidney therapy and targeted nursing intervention can effectively improve the clinical efficacy,and reduce the probability of adverse reactions,and strengthen the nursing satisfaction.
3.The effect of aerobic combined stretching exercise training on restless legs syndrome, quality of life in hemodialysis patients
Yilan LIANG ; Dejiao HE ; Dingping YANG ; Yonghui WAN ; Hong WU
Chinese Journal of Practical Nursing 2021;37(29):2280-2287
Objective:To investigate the effects of aerobic combined stretching exercise during dialysis on the severity of restless legs syndrome(RLS), quality of life and sleep quality in hemodialysis (HD) patients.Methods:A total of 63 HD patients with RLS who were admitted to the Hemodialysis Center, Renmin Hospital of Wuhan University from March 2018 to March 2019 were selected as research objects. According to the random number table method, they were divided into the observation group (32 cases) and the control group (31 cases). Patients in the control group were given conventional nursing methods while patients in the observation group were given the aerobic combined stretching exercise during dialysis. The International Restless Legs Syndrome Rating Scale (IRLS) Kidney Disease Quality of Life, (KDQOL-36 TM), Pittsburgh Sleep Quality Index(PSQI) and blood chemistry were used to evaluate the effect of exercise on HD patients with RLS. Results:After intervention, the observation group ′s IRLS scores was 12.19±4.48, lower than the control group (17.87±3.91), the difference was statistically significant ( t value was 3.021, P<0.05). The scores of physical health, mental health, kidney burden, symptoms and discomfort, effects of kidney disease in KDQOL-36 TM of the observation group were 44.56±6.64, 46.12±4.95, 19.92±15.91, 87.59±5.65, 64.55±13.20, higher than the control group (37.43±4.81, 41.81±4.87,12.10±14.87, 78.83±7.96, 55.45±15.52), the differences were statistically significant ( t values were -5.027--2.015, P<0.05). The PSQI total score was 8.94±2.54, lower than that of the control group (13.13±1.31), the difference was statistically significant ( t value was 8.271, P<0.05). The blood phosphorus was (1.80±0.48) mmol/L in the observation group, lower than (2.04±0.34) mmol/L in the control group, and hemoglobin, blood calcium [(105.31±13.58) g/L, (2.26±0.20) mg/L] were higher than those in the control group[(99.52±8.21) g/L, (2.05±0.29) mg/L], the differences were statistically significant ( t values were 2.275, -2.042, -3.325, P<0.05). Conclusions:The aerobic combined stretching exercise during dialysis relieves the symptom of RLS, improves the sleeping quality and quality of life.