Present situation investigation and quantitative evaluation of nursing intervention in maintenance hemodialysis patients with pruritus

Abstract

Objective To analyze the present situation of maintenance hemodialysis (MHD) patients with pruritus, and to explore the effect of nursing intervention based on quantitative evaluation on maintenance hemodialysis patients with pruritus. Methods A total of 158 patients with MHD who underwent examination in our hospital from June 2014 to November 2016 were enrolled in this study. All of them were complicated with pruritus and were randomly divided into two groups with 79 patients in each group. The observation group was treated by nursing intervention based on quantitative evaluation, and the control group was treated by conventional nursing intervention. Nursing effects of the two groups were compared. Results There was no statistically significant difference in the general data between the two groups (P>0.05). The blood calcium levels in the two groups were similar (P>0.05). The levels of blood phosphorus, SCr, hs-CRP, and BUN in the observation group were significantly higher than those in the control group, the levels of iPTH and ALB were significantly lower than those in the control group (P<0.05). The treatment effect of the observation group was better than that of the control group (P<0.05). The total effective rate of the observation group (96.20%) was significantly higher than that of the control group (62.03%) (P<0.05). The quality of life of the observation group was significantly higher than that of the control group (P<0.05). The satisfaction degree of the observation group (94.94%) was significantly higher than that of the control group (39.24%) (P<0.05). Conclusions Renal failure of the selected patients were caused by diabetic nephropathy, chronic glomerulonephritis, systemic lupus erythematosus, hypertensive nephropathy, polycystic kidney disease, and other causes. Nursing intervention based on quantitative evaluation can improve the symptoms of skin pruritus, and the effect is approved by patients. Key words: Maintenance hemodialysis; Pruritus; Quantitative evaluation