Practical Geriatrics ›› 2021, Vol. 35 ›› Issue (8): 887-890.doi: 10.3969/j.issn.1003-9198.2021.08.026

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Effect of precision nursing intervention on secondary hyperparathyroidism in elderly uremic patients

PENG Jun, YAN Ying   

  1. Blood Purification Centre, Nanjing Hospital of Nanjing Medical University, Nanjing 210006, China
  • Received:2020-11-25 Online:2021-08-20 Published:2021-08-30

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

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