首页|安全与舒适兼得式护理在自体动静脉内瘘成熟初期血液透析患者中的应用效果

安全与舒适兼得式护理在自体动静脉内瘘成熟初期血液透析患者中的应用效果

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目的 观察安全与舒适兼得式护理在自体动静脉内瘘成熟初期血液透析患者中的应用效果。方法 选取2019年1 月至 2021 年 5 月于江西省萍乡市第二人民医院通过动静脉内瘘行维持性血液透析的 80 例终末期肾病患者为研究对象,以信封法分为对照组(40 例)和试验组(40 例)。对照组采用血液透析常规护理,试验组针对内瘘管理加用安全与舒适兼得式护理干预,比较两组的内瘘成熟后首月内并发症发生率、内瘘使用舒适度评分。结果 试验组内瘘成熟后首月内并发症总发生率低于对照组,差异有统计学意义(P<0。05);试验组的心理、内瘘肢体、日常生活活动舒适度评分均高于对照组,疾病不确定感评分低于对照组,内瘘护理满意度评分高于对照组,差异有统计学意义(P<0。05)。结论 采用安全与舒适兼得式护理对自体动静脉内瘘成熟初期血液透析患者施加干预,可显著提升患者的内瘘使用安全性与舒适度,减低患者的疾病不确定感,提高患者的内瘘护理满意度。
Application effect of safe and comfortable nursing on hemodialysis pa-tients with mature autogenous arteriovenous fistula
Objective To observe the effect of safe and comfortable nursing on hemodialysis patients with mature autoge-nous arteriovenous fistula.Methods A total of 80 patients with end-stage renal disease who underwent maintenance hemodialysis through arteriovenous fistula in the Pingxiang NO.2 People's Hospital,Jiangxi Province from January 2019 to May 2021 were selected as research objects,and they were divided into control group(40 cases)and experimental group(40 cases)by envelope method.The control group received routine hemodialysis nursing,and the experimental group received both safe and comfortable nursing for internal fistula management.The complication rate and the comfort score of internal fistula were compared between the two groups in the first month after internal fistula maturation.Results The total incidence of complications in the first month after fistula maturation in experimental group was lower than that in control group,and the difference was statistically significant(P<0.05).The scores of psychology,internal fistula limbs and daily living activities of the experimental group were higher than those of the control group,the scores of disease uncertainty were lower than those of the control group,and the scores of internal fistula nursing satisfaction were higher than those of the control group,with sta-tistical significances(P<0.05).Conclusion The intervention of safe and comfortable nursing for patients with autologous arteriovenous fistula at the early stage of hemodialysis can significantly improve the safety and comfort of the use of internal fistula,reduce the disease uncertainty of patients,and improve the satisfaction of patients with internal fistula nursing.

Safe nursingComfortable nursingAutogenous arteriovenous fistulaEarly maturityMaintenance hemodialysis

文艳萍、周淑华、李燕、李莉

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江西省萍乡市第二人民医院血液净化室,江西萍乡 337000

江西省萍乡市第二人民医院心血管内科,江西萍乡 337000

江西省萍乡市第二人民医院神经外科,江西萍乡 337000

安全护理 舒适护理 自体动静脉内瘘 成熟初期 维持性血液透析

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(25)