Objective? To explore the effects of optimized stratified nursing intervention on the anxiety, quality of life and complications of hemodialysis(HD) patients. Methods? From February 2016 to February 2017, a total of 98 patients undergoing hemodialysis in the Affiliated Peace Hospital of Changzhi Medical College were selected by convenient sampling and divided into regular nursing group(n=49) and stratified nursing group (n=49) in accordance with random number table. Regular nursing care and stratified nursing care were provided accordingly. Scores of the Self-Rating Anxiety Scale (SAS) and 36-Item Short Form Survey (SF-36) before and after nursing intervention and the incidence of complications in the process of treatment were compared between the two groups. Results? Before intervention, there was no statistical difference between the scores of anxiety and each dimensions of the life-quality from the two groups (P＞0.05). After intervention, the stratified nursing group had lower score in SAS and higher score in each dimension of SF-36 with significant statistical difference compared with the regular nursing group(P＜0.01). The incidence of complications in the stratified nursing group was lower than the regular group with statistical difference (P＜0.05). Conclusions? Optimized stratified nursing intervention can effectively reduce HD patients' anxiety towards their diseases and treatments, improve their life-qualities, reduce the incidence of complications, and is safe and reliable, therefore it is worthy of clinical reference.
目的:探讨血液透析患者内瘘护理中分阶段匹配护理干预模式的应用效果.方法:选择2013年10月-2016年10月笔者所在医院90例建立动静脉内瘘的血液透析患者为分析对象,分为两组,对照组(n=45)采用常规护理模式,观察组(n=45)采用分阶段匹配护理干预模式,观察两种护理模式的应用效果.结果:观察组患者并发症发生率为17.78%,显著低于对照组的75.56%,差异有统计学意义(P<0.05);观察组患者自护行为能力评分显著高于对照组,差异有统计学意义(P<0.05);观察组患者满意度、健康教育及内瘘成熟情况均显著优于对照组,差异均有统计学意义(P<0.05).结论:血液透析患者内瘘护理中分阶段匹配护理干预模式的应用效果良好,值得推广.
目的：研究分析疗养老人的安全管理问题及护理措施。方法选择2009年4月～2014年4月期间在我院疗养的1600例老人的基本资料加以回顾性探究。结果疗养老人主要的安全问题包括：交叉感染、用错药、误伤、烫伤、坠床、噎呛以及跌倒等。在不安全因素中，生理及病理因素约占83.50%（1336/1600），心理因素约占12.0%（192/1600），社会因素约占4.5%（72/1600）。结论针对疗养老人的不安全因素及安全问题给予相应的护理，尽可能避免不安全因素，保证老人的安全，使护理质量有所提高。
