Role of fistula-specific care team in patients with arteriovenous fistula pseudoaneurysm
Objective To explore the application effect of internal fistula special group nursing in patients with arteriovenous fistula pseudoaneurysm.Methods This was a randomized controlled trial.A total of 60 patients with arteriovenous fistula pseudoaneurysm collected from Lianyungang Hospital of Traditional Chinese Medicine from January 2020 to December 2022 were selected as the research objects,and were divided into two groups according to the random grouping method with 30 patients in each group.In the control group,there were 22 males and 8 females,aged(48.52±10.21)years.In the observation group,there were 21 males and 9 females,aged(49.15±10.16)years.The control group received routine internal fistula nursing,and the observation group received internal fistula special group nursing on the basis.The surgical rate of pseudoaneurysms,size of pseudoaneurysms,number of pseudoaneurysms,and incidence of complications were compared between the two groups after intervention.Independent sample t test and x2 test were used.Results After intervention,the size of pseudoaneurysms in the observation group was smaller than that in the control group[(2.38±0.72)cm vs.(2.86±0.87)cm],with a statistically significant difference(t=2.328,P=0.023).The number of pseudoaneurysms in the observation group was less than that in the control group[(1.07±0.58)vs.(1.40±0.61)],with a statistically significant difference(t=2.147,P=0.036).There was no statistically significant difference in the surgical rate of pseudoaneurysms between the two groups(P>0.05).The incidence of pseudoaneurysm related complications in the observation group was lower than that in the control group[10.00%(3/30)vs.33.33%(10/30)],with a statistically significant difference(x2=4.812,P=0.028).Conclusion In the face of patients with arteriovenous fistula pseudoaneurysm,taking special group nursing measures for internal fistula can reduce the incidence of complications of pseudoaneurysm,and improve the prognosis in patients with pseudoaneurysm to a certain extent,which is worthy of clinical promotionand adoption.
Arteriovenous fistulaPseudoaneurysmInternal fistula special group nursingComplication rate