Objective:To observe the effect of fine nursing intervention on weight control of maintenance hemodialysis patients during the interdialytic period.Methods:A total of 92 patients receiving maintenance hemodialysis in People's Hospital of Huadu District from October 2019 to April 2021 were selected as the research objects, and they were divided into two groups by the random draw method. There were 27 males and 19 females in the research group, aged (59.72±12.24) years; there were 24 males and 22 females in the control group, aged (58.02±12.48) years. The control group received routine nursing methods, and the research group received fine nursing intervention on the basis of routine nursing for 6 months. The body weight control, complication rate, and nursing satisfaction were compared between the two groups. Independent sample t test and χ2 test were used for statistical analysis. Results:Before nursing intervention, there was no statistically significant difference in the body weight control between the two groups ( P>0.05). After nursing intervention, the body weight control of the control group was less than 3% in 5 cases and >5% in 10 cases, the body weight control of the research group was less than 3% in 19 cases and >5% in 1 case, and those in the research group were significantly better than those in the control group, with statistically significant differences (both P<0.05). The incidences of complications during dialysis treatment in the research group were significantly lower than those in the control group (all P<0.05). The nursing satisfaction in the research group was significantly higher than that in the control group [97.82% (45/46) vs. 76.09% (34/46)], with a statistically significant difference between the two groups ( χ2=6.907, P=0.009). Conclusion:Fine nursing intervention can effectively control the weight gain of maintenance hemodialysis patients during the interdialytic period, improve their quality of dialysis, and reduce the incidence of hemodialysis related complications, worthy of promotion.
目的:探讨老年人下肢骨折的有效临床护理措施.方法:选取南方医科大学附属花都医院2014-01/2014-12收治的80例高龄老年人下肢骨折患者为研究对象,将其随机分为实验组(n=40)和对照组(n=40),对这些患者进行临床资料的回顾性分析和随访,探讨在治疗期间采取的护理方法和措施的临床效果.两组都采用手术、牵引、石膏及夹板固定治疗,但治疗组同时给予积极的护理干预,包括创造舒适环境,心理干预、家属协同护理、围手术期护理与并发症护理,对照组按照普通护理方法进行常规护理.结果:实验组的护理方法能使患者的病情得到很好的改善,预后效果较好,与对照组相比,差异具有统计学意义(P<0.05).结论:积极的护理干预在老年人下肢骨折患者的应用能进一步提高服务质量,使患者获得良好的预后,值得临床推广.
目的:观察祛痛方结合口服秋水仙碱治疗急性痛风性关节炎的疗效。方法:将68例随机分为治疗组和对照组各34例,对照组予口服秋水仙碱,治疗组在对照组的基础上给予口服祛痛方,并以护理干预。结果:总有效率治疗组为94.1%,对照组为76.5%,两组比较,P<0.05。两组NRS、LIA、ESK比较,有显著性差异(P<0.01或P<0.05)。结论:祛痛方结合口服秋水仙碱治疗急性痛风性关节炎有较好疗效。