The following is a model essay on nursing graduation thesis, entitled: Try to talk about the application of comprehensive nursing mode and the clinical manifestation of improving the quality of life of hemodialysis patients. Welcome to reading.

Objective: To explore the influence of comprehensive nursing intervention on the quality of life of hemodialysis patients and provide more theoretical reference for clinical nursing. Strategy: The clinical data of 40 patients who came to our hospital for hemodialysis from March 20 10 to July 20 13 were analyzed retrospectively. Results: In terms of the incidence of acute diseases such as hyperkalemia, the patients in the observation group decreased significantly, while the scores in the emotional score, health index, general sentiment index and life satisfaction in the control group were significantly lower than those in the observation group, and the difference between the two groups was statistically significant (P < 0.05). Conclusion: Comprehensive nursing intervention has a significant effect on maintaining hemodialysis patients, which can alleviate patients' pain and improve their quality of life, and is worthy of being widely promoted by nurses in clinical nursing.

Keywords: comprehensive nursing; Routine nursing; Hemodialysis patients; quality of life

Hemodialysis patients have a long dialysis treatment cycle and poor health, which often leads to some serious complications. It mainly drains the blood in the patient's body to the outside, and through the dialyzer composed of countless hollow fibers, the blood and dialysate with similar concentration to the body exchange substances inside and outside the hollow fibers through convection, so that the metabolic waste in the body is removed, the electrolyte and acid-base are maintained at a balanced level, and the excess water in the body is also removed [1]. This paper mainly discusses the influence of comprehensive nursing intervention on the quality of life of hemodialysis patients, and now the research results are reported as follows.

1 data and policies

1. 1 General information:

Forty patients who came to our hospital for hemodialysis from April 38, 2065 to March 7, 2065 were randomly divided into control group and observation group, with 20 patients in each group. There were 22 male patients and 8 female patients/kloc-0, aged 42-77 years, with an average age of 56 years. The dialysis frequency of patients is 1-3 times a week, and the dialysis time is 3-5 hours each time. There was no statistical difference in age, sex, dialysis time and dialysis frequency between the two groups (P & gt0.05).

1.2 policy

1.2. 1 dialysis strategy:

All patients were dialyzed for 9 ~ 14 hours per week, and the dialysis time was within 3 ~ 5 hours. Bicarbonate and polysulfone membrane hemodialyzers were used for dialysis.

1.2.2 nursing strategy:

The control group was given routine care. The observation group was given comprehensive nursing. The specific ways are: 1 creating a good nursing environment; Do a good job in cleaning and disinfecting the dialysis room to ensure the air circulation in the dialysis room. 2. Psychological counseling for patients: Before dialysis, patiently explain dialysis strategies and precautions to patients in detail. Patients will have different degrees of tension after illness. Nurses should communicate with patients in time, establish confidence and courage for patients to overcome diseases, and pay attention to communication with patients' families, mobilize their families to comfort patients and eliminate fear. After dialysis, patients often have negative emotions such as depression and anxiety, which will affect the therapeutic effect of patients. Therefore, it is necessary to fully understand the causes of patients' negative emotions and give psychological counseling according to the reasons. During dialysis, we should closely observe the changes of patients' vital signs, especially the puncture site, and observe the occurrence of complications to prevent patients from complications such as hypotension and acute hemolysis. Adjust the drug dosage in time and closely observe the changes of blood pressure in patients; Closely observe the changes of blood lipids to prevent hyperlipidemia or lipid metabolism disorder; If the patient has gum bleeding, gastrointestinal bleeding and intracranial bleeding, reduce the dosage of heparin to prevent bleeding. 4 diet care: dialysis patients are mostly anuria or oliguria, so it is necessary to strictly limit the fluid intake of patients. If they consume too much water, patients will have symptoms such as high blood pressure and heart failure. Therefore, we should strictly limit the intake of water. Generally, the intake of water should make the residual urine volume around 700ml, and the weight gain of patients between dialysis should be within 2 ~ 3 kg. The amount of dehydration during each dialysis should not exceed 5% of the basal body weight to prevent complications.

1.3 Scoring standard:

SF-36 quality of life scale was used to score the nursing intervention of patients in the observation group and the control group, including five contents: physique, energy, physical health, mental health and social activities. The score is based on a percentage system. The higher the score, the better the quality of life.

1.4 statistical processing:

All data were processed, expressed and t-tested by SPSS 15.0 software, P

Two results

See table 1 for the specific clinical efficacy of the two groups.

3 discussion

? People-oriented? Comprehensive nursing mode can significantly interfere with the treatment of hemodialysis patients, improve the quality of life of patients, and greatly help the clinical treatment effect [2]. Hemodialysis patients have a long dialysis treatment cycle and poor health, which often leads to some serious complications. Patients often don't understand hemodialysis. Due to some inherent concepts, patients are prone to psychological and physiological reasons, which have a considerable negative impact on clinical treatment. At present, conventional nursing methods cannot solve these reasons and meet the needs of patients and their families. Therefore, on the basis of routine nursing, comprehensive nursing intervention measures can improve the nursing effect of patients by increasing the attention to nursing environment, paying attention to patients' diet and doing a good job in nursing dialysis patients.

The comprehensive nursing mode adopted in this study firstly creates a comfortable dialysis environment and ward environment for patients, making them feel comfortable and satisfied in the whole nursing process, and secondly popularizes hemodialysis knowledge for patients, so that patients can fully understand this knowledge and try their best to soothe their nervousness. Then nurses should pay full attention to the changes of patients' vital signs during dialysis to prevent some serious complications; Finally, do a good job of psychological counseling for patients. This kind of nursing work runs through the whole process of patient treatment, comforting patients and getting rid of negative emotions. Through the comprehensive nursing mode combining these measures, we found that the quality of life score of patients in the observation group was significantly higher than that of patients in the control group.

To sum up, comprehensive nursing intervention has a significant effect on maintaining hemodialysis patients, which can alleviate patients' pain and improve their quality of life, and is worthy of being vigorously promoted by nurses in clinical nursing.

refer to

Li, Linzhi, Zhou Fengchan, et al. Practice of applying evidence-based nursing to solve hypotension in hemodialysis patients [J]. Modern Clinical Nursing, 2005,4 (3): 9

[2] Liang Xingju. Experience of clinical application of comfortable nursing in perioperative period of general surgical patients [J]. Guide to Traditional Chinese Medicine, 20 10/0,7 (31): 81-84.

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