【摘要】 目的 探讨分析基于循证理念的优化策略干预联合个体化透析液温度对维持性血液透析患者透析后疲劳的影响。方法 随机选取2021年1—3月南通大学附属启东市人民医院收治的维持性血液透析患者60例为研究对象，采用基于循证理念的优化策略联合个体化透析液温度干预。采用慢性病治疗功能评估-疲劳量表（Functional Assessment of Chronic Illness Therapy-Fatigue Scale, FACIT-Fatigue）评估疲劳情况、生存质量评价量表（the MOS Item Short From Health Survey, SF-36）评估患者生存质量，并观察透析中急性并发症发生情况。结果 透析2、3、4个月患者的FACIT-Fatigue评分低于研究前，差异有统计学意义（P<0.05）；透析2、3、4个月患者SF-36评分高于研究前，差异有统计学意义（P<0.05）；透析2、3、4个月并发症总发生率低于透析1个月，差异有统计学意义（P<0.05）。结论 基于循证理念的优化策略干预联合个体化透析液温度对维持性血液透析患者有较好的临床价值，可改善疲劳症状、生活质量，减少透析中急性并发症的发生。更多还原

【Abstract】 Objective To explore and analyze the effect of evidence-based optimization strategy intervention combined with individualized dialysate temperature on post-dialysis fatigue in maintenance hemodialysis patients. Methods A total of 60 patients with maintenance hemodialysis admitted to Qidong People’s Hospital Affiliated to Nantong University from January to March 2021 were randomly selected as the study objects, and an evidence-based optimization strategy combined with individualized dialysate temperature intervention was adopted. Functional Assessment of Chronic Illness Therapy-Fatigue Scale(FACIT-Fatigue) was assessed, quality of life was assessed by the MOS Item Short From Health Survey(SF-36), and acute complications during dialysis were observed. Results After 2, 3 and 4 months of dialysis, the FACIT-Fatigue score was lower than that before the study, and the difference was statistically significant(P<0.05). The SF-36 scores of patients at 2, 3 and 4 months of dialysis were higher than those before the study, and the differences were statistically significant(P<0.05). The total incidence of complications in 2, 3 and 4 months of dialysis was lower than that in 1 month, and the difference was statistically significant(P<0.05). Conclusion The optimal strategy intervention based on the evidence-based concept combined with individualized dialysate temperature has good clinical value for maintenance hemodialysis patients, can improve fatigue symptoms, quality of life, and reduce the occurrence of acute complications during dialysis.更多还原