Abstract:

Objective To explore the effect of the holistic care on the quality of life assessment systemin patients with postoperative infection after kidney transplantation. Methods The clinical data of 92 patients with infection after renal transplantation in our hospital from January 2017 to December 2017, were analysed retrospectively. The patients were divided into nursing group（observation group）and routine nursing（controlgroup），according to different nursing plans，each group has 46 patients. The nursing quality were compared between the two groups，mainly on the scores of the nursing quality，survival quality score，anxiety score，compliance evaluation，physical comfort，environmental comfort ratings，and patient satisfaction. Results The comprehensive nursing quality（education，nursing attitude，nursing skills，ward management）in the observation group were significantly higher than that in the control group，and the difference were statistically significant（χ2 ＝ 14.286，P ＝ 0.003 ；χ2 ＝ 16.331，P ＝ 0.003 ；χ2 ＝ 19.247，P ＝ 0.002 ；χ2 ＝ 18.295，P ＝ 0.003）. The survival quality score in the observation group was significantly higher than that in thecontrol group，and the difference was statistically significant（t ＝ 4.672，P ＝ 0.002）. Anxiety scores in the observation group were significantly lower than that in the control group，and the difference was statistically significant（t ＝ -4.855，P ＝ 0.003）.The compliance score，physiological comfort score and environmental comfortscore in the observation group were significantly higher than those in the control group，and the difference werestatistically significant（t ＝ -19.218，P ＝ 0.002 ；t ＝ -14.821，P ＝ 0.003 ；t ＝ -16.115，P ＝ 0.002）.Nursing satisfaction in observation group was significantly higher than that in control group，and the difference was statistically significant（χ2 ＝ 4.873，P ＝ 0.001）Conclusion “The holistic care”intervention could reduce the psychologicalburden of patients and their families as well as relieve the pain on the body，mind and spirit in all aspects. This method could also improve the quality of patients' lives along with the quality of nursing work. It has important guidingsignificance for clinical management of infection after renal transplantation and related nursing work.

Key words: Holistic care, Renal transplantation, Quality of life, Improvement effect

摘要：

目的 探讨“四全照顾”对肾移植术后感染患者生存质量需求评估体系的影响。方法 回顾 性分析 2017 年 1 月—2017 年 12 月本院的 92 例肾移植术后感染的患者临床资料，依据护理方案不同将患者分为“四全照顾”护理组（观察组）和常规护理（对照组）组，每组 46 例。主要分析比较对护理质量评分、生存质量评分、焦虑情绪评分、依从性评分、生理舒适度评分、环境舒适度评分及患者满意度。结果 观察组的综合护理质量（健康教育、护理态度、护理技能、病房管理）显著高于对照组，并且差异具有统计学 意义（χ2 ＝ 14.286，P ＝ 0.003；χ2 ＝ 16.331，P ＝ 0.003；χ2 ＝ 19.247，P ＝ 0.002；χ2 ＝ 18.295，P ＝ 0.003）。观察组的生存质量评分明显高于对照组，差异具有统计学意义（t ＝ 4.672，P ＝ 0.002）；观察组的焦虑情绪评分明显低于对照组，差异具有统计学意义（t ＝ -4.855，P ＝ 0.003）。观察组的依从性评分、生理舒适度评分、环境舒适度评分显著高于对照组，并且差异具有统计学意义（t ＝ -19.218，P ＝ 0.002；t ＝ -14.821，P ＝ 0.003；t ＝-16.115，P ＝ 0.002）。观察组的满意度显著高于对照组，且差异具有统计学意义（χ2 ＝ 4.873，P ＝0.001）。结论 “四全照顾”从身体、心灵各方面降低患者及其家属的心理负担与痛苦，提高患者的生存质量，具有科学、高效及合理的优势，对于肾移植术后感染的临床管理和相关护理工作具有重要指导意义。

关键词: 四全照顾 , 肾移植 , 生存质量 , 改善效果