Abstract：Objective To explore the intervention effect of continuous improvement based on communication feedback in high-flux hemodialysis (HFHD) of patients with uremia during treatment. Methods A total of 124 patients with uremia who received HFHD treatment in the Sixth Medical Center of PLA General Hospital were selected from January 2018 to January 2020, the random number table method was used to divide them into control group and observation group, with 62 cases in each group. The control group was received routine intervention, the observation group was received continuous improvement intervention based on communication feedback, both were intervened for 6 months. The psychological state of the two groups was evaluated and compared by self rating anxiety scale (SAS) and self-rating depression scale (SDS) before and six months after intervention. After six months of intervention, the satisfaction of the two groups was investigated by self-made satisfaction questionnaire; the skin itching degree of the two groups was evaluated and compared; the complications of the two groups were recorded. Results At six months of intervention, the SAS and SDS scores of both groups were decreased than those before intervention, and the observation group were lower than the control group (P ＜ 0.05); the scores of all items in the questionnaire of nursing satisfaction of the observation group were higher than those of the control group (P ＜ 0.05); the degree of skin itching in observation group was less than that in control group (P ＜ 0.05); the incidence of allergy and bleeding in the observation group was lower than the control group (P ＜ 0.05). Conclusion The intervention effect of continuous improvement based on communication feedback in high flow hemodialysis of patients with uremia during treatment has certain effect, which is helpful to improve the mental state of patients and reduce the itching degree of skin, and it is easy to be accept by patients, with high degree of satisfaction.
赵君 杨红美 王倩倩 李楠. 基于沟通反馈的持续改进在尿毒症患者高通量血液透析中的护理效果[J]. 中国医药导报, 2021, 18(16): 189-192.
ZHAO Jun YANG Hongmei WANG Qianqian LI Nan. Nursing effect of continuous improvement based on communication feedback in high-flux hemodialysis of patients with uremia. 中国医药导报, 2021, 18(16): 189-192.
[1] 许琴，赵烨，徐煜，等.血液透析、腹膜透析2种透析方式对慢性肾衰竭尿毒症患者微炎症状态的影响[J].现代中西医结合杂志，2017，26（2）：155-156.
[2] 柯静，陈月清，徐小琳.高通量透析器用于维持性血液透析患者的效果[J].中国医药导报，2015，12（6）：31-34.
[3] 马涛.尿毒症患者的饮食护理观察[J].山西医药杂志，2018，47（22）：2766-2768.
[4] 王探春，章丽.心理干预对尿毒症患者血液透析期护理的效果分析[J].中国急救医学，2017，37（1）：189-190.
[5] Liu Z，Zhao YK，Liu DD，et al. Effects of Nursing Quality Improvement on Thrombolytic Therapy for Acute Ischemic Stroke [J]. Front Neurol，2018，29（9）：1025.
[6] 徐庆群，张芹.基于患方反馈的持续改进护理在血液透析联合血液灌流患者中的应用[J].广西医学，2019，41（18）：2408-2411.
[7] 姚秀英，陈霞，徐栩，等.电子信息反馈法在重症监护室护理质量持续改进中的应用[J].解放军护理杂志，2015， 32（6）：67-69.
[8] 孙晓，施雁，田梅梅，等.基于信息化平台护理管理系统的构建及持续改进[J].护理研究，2016，30（28）：3531-3535.
[9] 中国中西医结合学会肾脏疾病专业委员会.慢性肾衰竭中西医结合诊疗指南[J].中国中西医结合杂志，2015，35（9）：1029-1033.
[10] 段泉泉，胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志，2012，26（9）：676-679.
[11] Scheffer A，Schuurmans MJ，Dijk NV，et al. Reliability and validity of the visual analogue scale for fear of falling in older persons [J]. J Am Geriatr Soc，2010，58（11）：2228-2230.
[12] Cohen SD，Cukor D，Kimmel PL. Anxiety in Patients Treated with Hemodialysis [J]. Clin J Am Soc Nephrol，2016，11（12）：2250-2255.
[13] 杨亮.老年尿毒症病人血液透析诱导期心血管并发症的预防与护理[J].国际心血管病杂志，2017，57（44）：257-258.
[14] 李书群，赵燕平，李园，等.心理护理干预对维持性尿毒症血液透析患者焦虑抑郁情绪的影响[J].国际精神病学杂志，2017，44（3）：173-175.
[15] 黄霞娟.高龄尿毒症患者血液透析诱导期护理的效果分析[J].蚌埠医学院学报，2015，40（2）：258-260.
[16] 吴玉芳，于作芳，张丽梅，等.重症监护室护理质量持续改进中电子信息反馈法的应用[J].结直肠肛门外科，2016， 22（2）：17-18.
[17] 张晓云，李汶渝，殷丽娟.护患沟通技能培训在优质护理实施的应用[J].临床医药文献杂志：电子版，2017，4（24）：4636.
[18] Kahouei M，Ahmadi Z，Kazemzadeh F. Evaluation of organizational support for use of online information resources in nursing care [J]. J Evid Based Med，2014，7（4）：252-257.
[19] 陆红，钱湘云，沈娟.护士长日患者沟通制在护理管理中的应用[J].中华现代护理杂志，2015，21（10）：1209-1211.
[20] 吴薇.护理管理者多渠道有效沟通的研究进展[J].上海护理，2017，17（7）：103-104.
[21] 雷琛，杨婕，蒋理立，等.结直肠癌患者术前疾病不确定感的影响因素及治疗性沟通护理的意义[J].西部中医药，2018，31（5）：121-125.
[22] 康莉，黄惠琳，王芳.术前强化沟通护理对胃癌患者根治术后免疫及负性情绪的影响[J].现代消化及介入诊疗，2017，22（1）：134-136.
[23] 刘海仙，武杰，王志稳.标准化沟通模式在临床护理工作中的应用现状[J].中国护理管理，2016，16（9）：1273-1277.
[24] 王臣大，张志忠，徐昇，等.针灸联合加巴喷丁治疗尿毒症皮肤瘙痒的效果[J].中国医药导报，2016，13（22）：109-112.
[25] 武星君，王兆雄，杨红萍，等.分层护理干预对尿毒症血液透析患者皮肤瘙痒症状及生活质量的影响[J].中国皮肤性病学杂志，2017，31（13）：14-15.
[26] 李淼.血液透析滤过对老年血液净化患者远期并发症的疗效观察[J].中国现代医生，2019，57（2）：87-89，93.
[27] 郭蓉.血液灌流联合血液透析治疗尿毒症皮肤瘙痒的临床效果[J].中国当代医药，2019，26（24）：99-101.
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