Nursing effect of integrated medical and nursing management on maintenance hemodialysis patients
医护一体化管理对维持性血液透析患者的护理效果

摘要

目的 分析维持性血液透析过程中，使用医护一体化管理为患者进行护理的临床效果。方法 将2020年12月~2021年12月在我院接受维持性透析的患者作为此次研究实验的对象，使用方便抽样法选取100例，按照护理方式的差异将患者分为两组之后对比分析，研究组和对照组患者分别采用医护一体化管理和常规护理，探讨医护一体化管理在护理过程中存在的优势。结果 在接受护理之前，两组患者各项指标、生存质量评分等均不存在差异（p＞0.05），在进行护理之后，在血磷自我管理效能以及血磷控制和生存质量评分均更加优异（p＜0.05）。结论 对于接受维持性血液透析的患者而言，医护一体化管理可以取得更好的临床护理效果，对血磷水平进行有效控制，从而使得患者血磷自我管理效能得到提升，进一步改善生存治疗水平，值得推广。

Abstract

Objective: To analyze the clinical effect of using the integrated management of medical and nursing care for patients during maintenance hemodialysis.
Methods: The patients who received maintenance dialysis in our hospital from December 2020 to December 2021 were selected as the subjects of this research experiment, and 100 cases were selected using the convenience sampling method, and the patients were divided into two groups according to the differences in nursing methods and then compared. In the analysis, the patients in the study group and the control group adopted integrated medical and nursing management and routine nursing, respectively, to explore the advantages of integrated medical and nursing management in the nursing process.
Results: Before receiving nursing, there were no differences in various indicators and quality of life scores between the two groups (p>0.05). After nursing, the self-management efficacy of blood phosphorus, blood phosphorus control and quality of life scores were more excellent. (p<0.05).
Conclusion  : For patients receiving maintenance hemodialysis, integrated management of medical and nursing can achieve better clinical nursing effect, effectively control blood phosphorus level, so as to improve the self-management efficiency of blood phosphorus and further improve the survival treatment level. , worth promoting.