Clinical Study on Integrated Management of Postoperative Arteriovenous Fistula
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维普
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目的:探讨一体化管理在动静脉内瘘术后患者中的临床应用效果.方法:选取2021年7月-2023年6月于宜昌市中心人民医院行血液透析的120例患者为研究对象,并按照随机抽签的方式将其分为观察组(n=60)和对照组(n=60).两组患者均进行动静脉内瘘术,对照组术后实施常规管理模式,观察组在对照组的基础上实施一体化管理.比较两组患者的自护能力评分(症状管理评分和并发症预防评分)、内瘘使用情况、并发症及患者满意度.结果:观察组患者症状管理评分(17.43±1.76 分 vs 14.99±2.08 分)及并发症预防评分(50.37±4.81 分 vs 46.76±4.25 分)均明显高于对照组(均P＜0.05);观察组患者内瘘成熟时间明显短于对照组(5.15±1.07周vs 5.86±1.33周),且单次透析平均穿刺次数少于对照组(1.07±0.12次vs 1.23±0.18次),初次透析(194.34±14.76 mL/min vs 182.49±12.53 mL/min)、透析 3 个月(233.62±19.58 mL/min vs 212.05±21.41 mL/min)及透析 6 个月(270.29±26.72 mL/min vs 249.93±22.15 mL/min)血流量明显高于对照组(均P＜0.05);观察组患者的并发症发生率明显低于对照组(6.67％vs 20.00％),观察组患者满意度明显高于对照组(91.76％vs 78.33％)(均P＜0.05).结论:一体化管理措施在动静脉内瘘术后患者中的应用效果显著,有助于提高患者自护能力,促进内瘘成熟,降低并发症发生率,提高患者满意度.
Objective:To investigate the clinical application effect of integrated management in postoperative patients with arteriovenous fistula.Methods:A total of 120 patients who underwent hemodialysis in Yichang Central People's Hospital from July 2021 to June 2023 were selected,and all of the patients were divided into the observation group(n=60)and the control group(n=60)randomly.The patients in both groups underwent intravenous fistula operation,the control group underwent routine management after operation,and the observation group underwent integrated management based on the control group.The scores of self-care ability(symptom management score and complication prevention score),internal fistula usage,complications and patients'satisfaction were compared between the two groups.Results:Symptom management scores(17.43±1.76 vs 14.99±2.08)and complication prevention scores(50.37±4.81 vs 46.76±4.25)in observation group were significantly higher than those in control group(both P＜0.05).The internal fistula maturation time in the observation group was significantly shorter than that in the control group(5.15±1.07 weeks vs 5.86±1.33 weeks),and the average number of puncture times per dialysis was less than that in the control group(1.07±0.12 vs 1.23±0.18).Blood flow at initial dialysis(194.34±14.76 mL/min vs 182.49±12.53 mL/min),3 months after dialysis(233.62±19.58 mL/min vs 212.05±21.41 mL/min)and 6 months after dialysis(270.29±26.72 mL/min vs 249.93±22.15 mL/min)was significantly higher than that of control group(all P＜0.05).The complication rate of observation group was significantly lower than that of control group(6.67％vs 20.00％),and the satisfaction of observation group was significantly higher than that of control group(91.76％vs 78.33％)(both P＜0.05).Conclusion:The application of integrated management measures is of great importance in postoperative patients with arteriovenous fistula,which is helpful to improve patients'self-care ability,promote the maturity of internal fistula,reduce the incidence of complications,and improve patients'satisfaction.
维普
万方数据
