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| Effect of systematic nursing on improvement of the social regression rate for maintenance hemodialysis patients |
| HE Qing-xuan1 XIONG Yu-wan2 HE Xing-lai3 LYU Wei4 |
1.Blood Purification Center,the First People′s Hospital of Shaoguan City in Guangdong Province,Shaoguan 512000, China;
2.Blood Purification Center,People′s Hospital of Zhongshan City in Guangdong Province,Zhongshan 528401, China;
3.Blood Purification Center,the Fifth Affiliated Hospital of Zhongshan University,Zhuhai 519000,China;4.Blood Purification Center,Central People′s Hospital of Huizhou City in Guangdong Province,Huizhou 516000,China |
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Abstract Objective To explore the effect of systematic nursing on improvement of the social regression rate for maintenance hemodialysis patients.Methods Altogether 300 cases of maintenance hemodialysis patients who were treated in Maintenance Hemodialysis Center of four GradeⅢA Hospitals in Guangdong Province from January 2014 to January 2016 were retrospectively analyzed and randomly divided into intervention group and control group,150 cases in each group.The intervention group were received systematic nursing intervention based on routine nursing;while,the control group only were received routine nursing intervention.After 6 months of intervention,the social regression rate,SSRS(Social Support Rating Score),SAD(Social Avoidance and Distress Scale),medical compliance behavior and the incidence of complications of two groups were compared.Results The post-interventional social regression rate and SSRS score of the two groups were higher than pre-interventional ones,with significant difference(P＜0.05),among which a more significant improvement was seen in intervention group(P＜0.05).The regular hemodialysis rate,reasonable dietand work and rest rate,strict water intakerate of intervention group were higher than those of control group (P＜0.05).The SAD scores of the two groups were lower than pre-interventional ones,with significant difference(P＜0.05),among which a more significant reduction was seen in intervention group(P＜0.05).The incidence of complications in intervention group was significantly lower than that in control group(P＜0.05).Conclusion Systemic nursing intervention can help to enhance patients′self-confidence,improve communication avoidance and distress,strengthen social support and medical compliance, reduce the complications and improve the quality of life,which assistspatients to return to society earlier and it is worthy of promotion.
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