人文关怀联合营养支持在维持性血液透析患者治疗中的应用及其有效性分析

Application of Human Care and Nutritional Support in Maintenance Hemodialysis Patients and Its Ef-fectiveness Analysis

摘要: 目的：分析人文关怀联合营养支持在维持性血液透析患者治疗中的应用及其有效性。方法：抽取出在院内接受血液透析治疗的患者100例作分组研究，将其参考随机数字抽样原则进行分组，其中常规护理的50例患者为对照组，人文关怀联合营养支持的50例患者为观察组，对比两种护理方案的应用效果。结果：于干预前两组患者的血清白蛋白、血红蛋白等水平均未呈现出显著差异，但经不同方案干预后，观察组患者血清白蛋白、血红蛋白等水平均显著高于对照组；在干预前，两组患者的SAS与SDS评分均超过63分，经不同方案干预后，观察组SAS评分为50.02 ± 3.06分，显著小于对照组的56.14 ± 3.26分，观察组SDS评分为52.26 ± 3.44分，显著小于对照组的60.25 ± 3.05分；观察组50例患者中，有1例患者表示不满意，总满意度为98.00%，对照组50例患者中，有9例患者表示不满意，总满意度为82.00%，组间对比差异显著，各指标对比差异均具有统计学意义(P < 0.05)。结论：血液透析治疗期间，患者可能会出现营养不良等问题，增加感染等并发症的发生风险，同时也会降低患者的生活质量，为此，实施人文关怀及营养支持干预，可有效降低患者所面临的风险，同时提升生活质量。

Abstract: Objective: To analyze the application and effectiveness of human care combined with nutritional support in maintenance hemodialysis patients. Methods: One hundred patients who underwent hemodialysis in the hospital were enrolled in a group study. They were grouped according to the principle of random number sampling. 50 patients with routine care were the control group, and 50 patients with human care and nutritional support were included. For the observation group, compare the application effects of the two treatment programs. Results: There was no significant difference in serum albumin and hemoglobin between the two groups before intervention. However, after intervention with different regimens, the levels of serum albumin and hemoglobin in the observation group were significantly higher than those in the control group; before the intervention, the SAS and SDS scores of the two groups were more than 63 points. After different interventions, the SAS score of the observation group was 50.02 ± 3.06, which was significantly lower than the control group of 56.14 ± 3.26, and the observation group had the SDS score of 52.26 ± 3.44. The score was significantly lower than that of the control group of 60.25 ± 3.05; of the 50 patients in the observation group, 1 patient expressed dissatisfaction, the total satisfaction was 98.00%, and among the 50 patients in the control group, 9 patients expressed dissatisfaction. The satisfaction rate was 82.00%, and the difference between the groups was significant. The difference of the indexes was statistically significant (P < 0.05). Conclusion: During hemodialysis treatment, patients may have problems such as malnutrition, increase the risk of complications such as infection, and also reduce the quality of life of patients. For this reason, the implementation of human care and nutritional support intervention can effectively reduce the risks faced by patients while improving the quality of life.