Application effect of single disease nursing pathway intervention in patients with maintenance hemodialysis
10.3760/cma.j.cn115682-20200203-00405
- VernacularTitle:单病种护理路径干预在维持性血液透析患者中的应用效果
- Author:
Liu YANG
1
;
Linna ZHAO
;
Haijie WU
;
Li SHAO
Author Information
1. 首都医科大学附属北京友谊医院医疗保健中心血液透析室 100050
- Keywords:
Dialysis;
Maintenance hemodialysis;
Single disease;
Nursing pathway;
Complications;
Dialysis tolerance
- From:
Chinese Journal of Modern Nursing
2020;26(30):4265-4269
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the application effect of single disease nursing pathway intervention in patients with maintenance hemodialysis.Methods:Using the convenient sampling method, a total of 128 patients who underwent MHD treatment in Beijing Friendship Hospital of Capital Medical University from June 2018 to June 2019 were selected. They were divided into the single disease nursing group and routine nursing group by random number table method, with 64 cases in each group. The routine nursing group was given routine MHD nursing intervention. On the basis of routine nursing intervention and based on clinical nursing pathway, the single-disease nursing intervention group formulated the single-disease nursing pathway for the first-time dialysis patients, interdialytic patients and maintenance dialysis patients for nursing intervention. After 6 months of intervention, mastery of dialysis knowledge, complication rate and dialysis tolerance were compared between two groups.Results:The scores of five aspects of diet principles, functional exercise, medication principles, acute and chronic complications, internal fistulas and venous catheterization in the single-disease nursing group and the total score of dialysis knowledge were all higher than those of the routine nursing group. The incidence of bleeding, thrombosis and overall complications in the single-disease nursing group were lower than those in the routine nursing group. The scores of kidney disease-targeted assessment, quality of life assessment and total score of dialysis quality of life questionnaire for patients in the single-disease nursing group were higher than those of the routine nursing group. All differences were statistically significant ( P<0.05) . Conclusions:Single-disease nursing pathway intervention can improve the knowledge of dialysis in MHD patients, reduce the incidence of complications and improve the tolerance of patients with dialysis.
