KẾT QUẢ CHĂM SÓC NGƯỜI BỆNH SUY THẬN MẠN LỌC MÁU CHU KỲ TẠI BỆNH VIỆN TRUNG ƯƠNG QUÂN ĐỘI 108 NĂM 2021

Abstract

Objectives: To evaluate some clinical characteristics, complications in dialysis and care activities of patients with chronic renal failure undergoing dialysis. Subjects and methods: A prospective, cross-sectional study was performed on 152 chronic kidney failure patients undergoing cyclic dialysis who were cared for and treated at the Nephrology Department of the 108 Central Military Hospital from January 1. 2021 to 10/2021. Results: The average age of the study subjects was 65.6 ± 12.3 years old, with the mean filtration time less than 60 months accounting for 84.87%. Before dialysis symptoms of edema accounted for the largest proportion of 70,39%, followed by headache (44,74%), dizziness (40,79%), nausea, vomiting (36,18%); shortness of breath accounted for 26,32%; After filtering, the symptoms were clearly reduced except for symptoms such as dizziness, headache, nausea and vomiting, the efficiency index decreased with the rate of 43.55%; 27.27% and 26.47%. The rate of complications in dialysis is 24.34%, accounting for 16,45%; hypotension in dialysis accounts for 13,82%, FAV failure accounts for 10,53%, hypertension accounts for 4,61% and infection accounts for 2,63%. The results of patient care in CKD are good at 91,45% and good at 8,55%. The results of good counseling accounted for 79,61% and the good level accounted for 20,39%. Outcomes of general care (both CS and counseling): good accounted for 86,18% and good accounted for 13,82%. Conclusion: Before dialysis, the symptoms of edema accounted for the largest proportion, followed by headache, dizziness, nausea and vomiting, shortness of breath. After filtering the symptoms abate with the exception of dizziness, headache, vomiting and nausea. The rate of complications in the screening session accounted for 24.34%; improve care efficiency and communicate health education of nurses to help reduce complications in dialysis.