老年尿毒症患者血液透析护理体会

目的:探讨高龄尿毒症患者行维持性血液透析的护理方法,提高老年尿毒症患者的生存质量。方法:对86例高龄尿毒症患者行维持性血液透析,透析前、中、后进行针对性护理。结果:86例因各种原因停止透析者44例,改腹膜透析者2例,因心力衰竭、脑出血、心肌梗死、肺部感染等并发症引起死亡者17例。现仍维持性血液透析23例。结论:中老年患者维持性血液透析并发症多,危险性大,做好透析全过程的护理工作,严密观察透析中病情变化,及时处理并发症,加强饮食指导和管理,是提高老年患者维持性血液透析质量和延长生命的关键,也是高龄尿毒症患者顺利完成维持性血液透析的保证。

Nursing of elderly uremia patients receiving hematodialysis

Objective：To sum up the experience in nursing elderly uremia patients receiving maintenance hemodialysis to improve their living quality. Methods： Eighty-six cases of elderly uremia patients receiving maintenance hemodialysis in our hospital were applied individual nursing care. Results：Forty-four cases ceased dialysis for some reason,2 cases changed to peritoneum dialysis, 17 cases died of heart failure, cerebral hemorrhage, cardiac infarction, lung infection or other complications, and 23 cases were still receiving maintaining dialysis. Conclusions： Patients receiving maintenance dialysis are easy to develop complications. The key to improving the quality of maintenance dialysis and prolonging the life of the patients are providing psychological nursing during the whole hemato dialysis course,monitoring the changes of the disease closely,managing the complications promptly and strengthening the guide and management of their diet.