The effect of progressive goal nursing on negative emotions and nutritional status of uremic hemodialysis patients
递进式目标护理对尿毒症血液透析病人负性情绪及营养状况的影响

摘要

目的 探究尿毒症血液透析病人实施递进式目标护理的价值。方法 纳入本院行血液透析治疗共84例尿毒症病人（时段2023年6月～2024年6月），并随机划分2组各42例。对照组实施常规护理，观察组实施递进式目标护理。根据负性情绪、营养状况评价2组干预效果。结果 对比综合医院焦虑抑郁量表（HADS）评分，观察组干预后较对照组显著减少，2组间具备意义（P＜0.05）。对比血清总蛋白（TP）、转铁蛋白（TfR）、白蛋白（ALB）水平，观察组干预后较对照组显著增加，2组间具备意义（P＜0.05）。结论 尿毒症血液透析病人实施递进式目标护理对负性情绪有较好缓解作用，并促进营养状况改善。

Abstract

Objective To explore the value of progressive target nursing in patients with uremia undergoing hemodialysis.
Methods A total of 84 patients with uremia undergoing hemodialysis in our hospital (from June 2023 to June 2024) were enrolled and randomly divided into two groups, 42 cases in each group. The control group received routine nursing, and the observation group received progressive target nursing. The intervention effects of the two groups were evaluated according to negative emotions and nutritional status.
Results The scores of the General Hospital Anxiety and Depression Scale (HADS) were compared. The scores of the observation group were significantly reduced after intervention compared with those of the control group, and there was significance between the two groups (P＜0.05). The levels of serum total protein (TP), transferrin (TfR), and albumin (ALB) were compared. The levels of the observation group were significantly increased after intervention compared with those of the control group, and there was significance between the two groups (P＜0.05).
Conclusion   The implementation of progressive target nursing in patients with uremia undergoing hemodialysis has a good effect on alleviating negative emotions and promoting the improvement of nutritional status.