维持性血液透析肾衰竭患者的延续护理需求调查分析

doi:10.3969/j.issn.1006-5253.2019.03.015

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摘要目的调查维持性血液透析（MHD）肾衰竭患者的延续护理需求现况。方法选取2016年6月至2018年6月于本院就诊的MHD肾衰竭患者80例，采用自制《MHD肾衰竭患者延续护理需求问卷》评估纳入患者的延续护理需求。结果本研究调查的80例MHD肾衰竭患者对延续性护理均有需求，对健康教育、专科护理和心理支持的需求率分别为100%、95%和90%。健康教育需求项中，MHD知识需求率最高，高于饮食运动和血压控制（P<0.05）；专科护理需求项中，动静脉瘘保健和并发症预防的需求率高于MHD评估指导和导管处护理（P<0.05）；心理支持需求项中，家庭支持需求率最高，高于心理疏导、MHD交流会和MHD讲座（P<0.05）。MHD肾衰竭患者延续护理随访方式需求中，网络平台需求率最高，网络平台需求率高于定期家访和图书资料（P<0.05），电话及短信和定期家访高于图书资料（P<0.05）。结论 MHD肾衰竭患者对延续护理存在多方面需求，医院应加强以MHD知识为主的健康教育、以动静脉瘘保健为主的专科护理、以家庭支持为主的心理支持，并应尽量采取网络平台的随访方式，以满足患者需求。

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	方卫莲

关键词 ：维持性血液透析, 肾衰竭, 延续护理, 需求

Abstract：objective To investigate and analyze the continuing nursing demand of the maintenance hemodialysis (MHD) patients with renal failure.Methods Eighty MHD patients with renal failure were selected in our hospital from June 2016 to June 2018, and the continued nursing demand of all patients was assessed by the selfmade MHD patient care demand questionnaire.Results In this study, all of the 80 patients with MHD renal failure had demand, and the demand rate for health education, specialist nurses and psychological support were 100%, 95%, and 90% respectively. In terms of health education, the demand rate of MHD knowledge was the highest, higher than those of diet and exercise, and blood pressure control (P<0.05). In terms of specialist nurses, the demand rates of arteriovenous fistula and complication prevention were higher than those of MHD evaluation guidance and catheter care (P<0.05). In terms of psychological support, the demand rate of family support was the highest, higher than those of psychological counseling, MHD exchanges and MHD lectures (P<0.05). In the demand for continued nursing followedup way of MHD patients, the demand rate of internet platform was the highest, higher than those of the regular home visits and books (P<0.05), and the demand rates of the telephone and short message, and regular home visits were higher than that of books (P<0.05).Conclusion MHD patients with renal failure have multiple and larger demand for continue nursing, so the health education based on MHD knowledge, specialized nursing based on arteriovenous fistula health care and psychological support based on family support should be strengthened, and the followup mode of network platform should be adopted as far as possible, in order to meet the needs of patients.

Key words： maintenance hemodialysis renal failure continued nursing demand

收稿日期: 2019-03-07

通讯作者: 方卫莲 ,Email:zksi718@sina.com

引用本文:

方卫莲. 维持性血液透析肾衰竭患者的延续护理需求调查分析[J]. 中国医院统计, 2019, 26(3): 211-214.
Fang Weilian. Investigation and analysis of continuing nursing demand of the maintenance hemodialysis patients with renal failure. journal1, 2019, 26(3): 211-214.

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