Exploring the effect of predictive nursing intervention on bedside intermittent hemodialysis (IHD) in elderly patients with severe renal failure (SRF)
探讨预见性护理干预在老年重症肾衰竭（SRF）患者实施床边间歇性血液透析（IHD）中的效果

摘要

目的 探讨预见性护理干预在老年重症肾衰竭（SRF）患者床边间歇性血液透析（IHD）中的应用效果。方法 选取2023年12月至2025年12月我院收治的60例行床边IHD的老年SRF患者作为研究对象，采用随机数字表法分为对照组与观察组各30例，对照组实施常规护理干预，观察组实施预见性护理干预。结果 观察组的透析血流量达标率、超滤量达标率高于对照组（P＜0.05）；并发症发生率低于对照组（P＜0.05）。结论 在行床边IHD治疗的老年SRF患者中，预见性护理干预的优势显著，有利于提升其透析血流量达标率、超滤量达标率，防止较多并发症加剧患者病情。

Abstract

Objective To explore the application effect of predictive nursing intervention in bedside intermittent hemodialysis (IHD) in elderly patients with severe renal failure (SRF).
Methods Sixty elderly SRF patients with bedside IHD admitted to our hospital from December 2023 to December 2025 were selected as the research subjects. They were randomly divided into a control group and an observation group, with 30 cases in each group. The control group received routine nursing intervention, while the observation group received anticipatory nursing intervention.
Results The compliance rates of dialysis blood flow and ultrafiltration volume in the observation group were higher than those in the control group (P<0.05); The incidence of complications was lower than that of the control group (P<0.05).
Conclusion   In elderly SRF patients undergoing bedside IHD treatment, the advantage of anticipatory nursing intervention is significant, which is conducive to improving the compliance rate of dialysis blood flow and ultrafiltration volume, and preventing more complications from worsening the patient’s condition.