精准护理模式干预对老年尿毒症病人继发甲状旁腺功能亢进的影响

doi:10.3969/j.issn.1003-9198.2021.08.026

摘要/Abstract

摘要： 目的探讨精准护理模式干预对老年尿毒症病人继发甲状旁腺功能亢进的影响。方法选取2017年1月至2019年12月在我院接受血液透析治疗的老年尿毒症病人62例为研究对象,随机分为2组,每组31例。观察组给予精准护理干预,对照组给予常规护理干预。观察并比较2组病人干预前后血清全段甲状旁腺激素(PTH)、钙、磷、肌酐(SCr)、尿素氮(BUN)、碱性磷酸酶(AKP)水平及焦虑抑郁发生率、护理满意度及其生活质量。结果护理干预后,2组PTH、P、SCr、BUN和AKP水平均明显降低,钙水平明显提高,差异均有统计学意义(P<0.05);2组间比较,观察组上述指标改善更明显(P<0.05)。与对照组比较,观察组焦虑、抑郁发生率显著减少,护理满意度明显提高,且精神状态、社会功能、健康状况和总评分显著提高,差异有统计学意义(P<0.05)。结论精准护理干预可以减少老年尿毒症继发甲状旁腺功能亢进病人的并发症,缓解焦虑、抑郁等负面情绪,改善老年病人的生活质量。

关键词: 精准护理, 老年人, 尿毒症, 甲状旁腺功能亢进, 生存质量

Abstract: Objective To explore the effect of precision nursing intervention on secondary hyperparathyroidism in the elderly uremic patients. Methods A total of 62 elderly uremic patients who received hemodialysis treatment in our hospital from January 2017 to December 2019 were selected and divided into two groups randomly, with 31 cases in each group. The observation group was treated with precision nursing intervention and the control group was treated with routine nursing intervention. The serum levels of parathyroid hormone (PTH), calcium (Ca), phosphor (P), creatinine (Cr), blood urine nitrogen (BUN) and alkaline phosphatase (AKP), the incidence of anxiety and depression,the quality of life were observed and compared between the two groups before and after the intervention. Results After nursing intervention, the levels of PTH, P, SCr, BUN and AKP were significantly lower and the level of Ca was significantly higher in the two groups than those before the intervention(P<0.05),especially in the observation group(P<0.05).Compared with the control group, the incidence rates of anxiety and depression in the observation group were significantly lower and the nursing satisfaction, the scores of the mental state, social function, health status and total score were significantly higher in the observation group(P<0.05). Conclusions Precision nursing intervention can reduce the complications of the elderly uremic patients with secondary hyperparathyroidism, and reduce the incidence of anxiety and depression, improve the quality of life.

Key words: precise nursing, aged, uremia, hyperparathyroidism, quality of life

中图分类号:

彭君, 严莹. 精准护理模式干预对老年尿毒症病人继发甲状旁腺功能亢进的影响[J]. 实用老年医学, 2021, 35(8): 887-890.

PENG Jun, YAN Ying. Effect of precision nursing intervention on secondary hyperparathyroidism in elderly uremic patients[J]. Practical Geriatrics, 2021, 35(8): 887-890.

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