首页|以思维导图为指导的护理干预模式在钝针扣眼穿刺法血液透析患者中的作用

以思维导图为指导的护理干预模式在钝针扣眼穿刺法血液透析患者中的作用

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目的 探讨以思维导图为指导的护理干预模式在钝针扣眼穿刺法血液透析患者中的作用.方法 将2019年3月至2022年2月河南省人民医院收治的92例血液透析患者根据数字随机法分为研究组和对照组,分别包含46例患者,均采用钝针扣眼穿刺法行血液透析.对两组患者分别采用以思维导图为指导的护理干预及常规护理干预.对比干预前后两组患者的营养状态、肺功能、依从性及并发症发生率.结果 干预前,两组各项临床指标差异无统计学意义(P>0.05).干预后,研究组血红蛋白(Hb)、血清前白蛋白(PA)及血清白蛋白(Alb)水平高于对照组,其患者营养主管评估量表(PG-SGA)评分低于对照组(P<0.05);研究组肺活量、时间肺活量及左室射血分数高于对照组,其残气量低于对照组(P<0.05);研究组依从性评分高于对照组,其并发症发生率低于对照组(P<0.05).结论 在钝针扣眼穿刺法血液透析患者治疗过程中,采用以思维导图为指导的护理干预模式,可有效改善其营养不良状态,提高肺功能及对医护人员的依从性,降低干预期间并发症的发生率.
Role of Nursing Intervention Mode Guided by Mind Map in Hemodialysis Patients with Blunt Needle Buttonhole Puncture
Objective To explore the role of nursing intervention mode guided by mind map in hemodialysis patients with blunt needle buttonhole puncture.Methods A total of 92 hemodialysis patients treated in Henan Provincial People's Hospital from March 2019 to February 2022 were randomly divided into study group and control group,including 46 patients respectively.All patients underwent hemodialysis by blunt needle buttonhole puncture.Nursing intervention guided by mind map and routine nursing intervention were used in the two groups.The nutritional status,pulmonary function,compliance and complication rate of the two groups were compared before and after the intervention.Results There was no significant difference in clinical indexes between the two groups before intervention(P>0.05).After the intervention,the levels of hemoglobin(Hb),prealbumin(PA),albumin(Alb)in the study group were higher than those in the control group,and the scored patient-generated subjective global assessment(PG-SGA)score was lower than that in the control group,and the proportion of patients with malnutrition was lower than that in the control group(P<0.05).The vital capacity,time vital capacity and left ventricular ejection fraction of the study group were higher than those of the control group,and its residual gas volume was lower than that of the control group(P<0.05).The compliance score in the study group was higher than that in the control group,and the incidence of complications was lower than that in the control group(P<0.05).Conclusion In the treatment of hemodialysis patients with blunt needle buttonhole puncture,the nursing intervention mode guided by mind map can effectively improve their malnutrition,improve lung function and compliance with medical staff,and reduce the incidence of complications during the intervention.

hemodialysisblunt needle buttonhole puncturemind mappingnursing

李瑞、徐旸、王敏、师凯、李玉平

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河南省人民医院血液净化中心,河南郑州 450000

血液透析 钝针扣眼穿刺法 思维导图 护理

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(24)