综合性护理在血液透析联合血液灌流治疗尿毒症患者护理中的应用价值分析
Analysis of the Application Value of Comprehensive Nursing in the Treatment of Uremia Patients with Hemodialysis Combined with Hemoperfusion

目的：本研究旨在深入探讨综合性护理在血液透析联合血液灌流治疗尿毒症患者护理工作中的具体应用价值。方法：本研究选取了在新疆医科大学第六附属医院血液透析科接受血液透析联合血液灌流治疗的尿毒症患者80例，将纳入病例按照时间点分为观察组与对照组，每组40例。在护理干预过程中，对照组患者接受的是常规护理模式，观察组则采用综合性护理模式，该模式从多个维度展开护理工作。在心理层面，护理人员积极与患者沟通，深入了解患者因长期患病及面对治疗压力所产生的焦虑、抑郁等负面情绪，并给予针对性地心理疏导与鼓励，增强患者战胜疾病的信心。通过对两组患者护理前后的相关指标进行对比分析，结果：在肾功能指标方面，护理后观察组的血肌酐、尿素氮、β2-微球蛋白水平相较于对照组明显更低，这表明综合性护理对改善患者肾功能发挥了积极显著的作用。在并发症发生率统计中，观察组并发症发生率显著低于对照组，充分体现了综合性护理在降低治疗风险、提升治疗安全性方面的优势。从护理满意度调查结果来看，观察组患者的满意度明显高于对照组。结论：将综合性护理应用于血液透析联合血液灌流治疗的尿毒症患者护理过程中，能够切实有效地改善患者的肾功能，显著降低并发症的发生率，同时大幅度提升患者的护理满意度，在临床护理工作中具有极高的推广应用价值。
Purpose of this study was to explore the specific application value of comprehensive nursing in the nursing of patients with uremia by hemodialysis combined with hemoperfusion. Methods: In this study, 80 uremia patients who received hemodialysis combined with hemoperfusion in the Department of Hemodialysis of the Sixth Affiliated Hospital of Xinjiang Medical University were selected, and the included cases were divided into observation group and control group according to time points, with 40 cases in each group. Result: the patients in the control group received the usual nursing model, and the observation group adopted the integrated nursing model, which carried out nursing work from multiple dimensions. At the psychological level, nursing staff actively communicate with patients, gain an in-depth understanding of patients’ negative emotions such as anxiety and depression caused by long-term illness and treatment pressure, and give targeted psychological counseling and encouragement to enhance patients’ confidence in overcoming the disease. Through the comparative analysis of the relevant indexes before and after nursing of the two groups, the results showed that in terms of renal function indicators, the levels of serum creatinine, urea nitrogen and β2-microglobulin in the observation group were significantly lower than those in the control group, indicating that comprehensive nursing played a positive and significant role in improving the renal function of patients. In the statistics of complication rate, the complication rate of the observation group was significantly lower than that of the control group, which fully reflected the advantages of comprehensive nursing in reducing the risk of treatment and improving the safety of treatment. According to the results of nursing satisfaction survey, the satisfaction of