首页|基于微信平台的集束化护理对血液透析患者生活质量及动静脉内瘘功能的影响

基于微信平台的集束化护理对血液透析患者生活质量及动静脉内瘘功能的影响

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目的 探究基于微信平台的集束化护理对血液透析患者生活质量及动静脉内瘘功能的影响。方法 按照随机数字表法将2019年1月至2021年1月收治的110例血液透析患者分为对照组(n=55)和观察组(n=55)。对照组行常规护理,观察组加用基于微信平台的集束化护理。比较两组的动静脉内瘘功能障碍发生情况、生活质量、自我管理能力、并发症发生情况、肾功能指标及护理满意度。结果 观察组的动静脉内瘘功能障碍总发生率为5。45%,低于对照组的20。00%(P<0。05)。护理后,两组的生活质量综合评定问卷(GQOLI-74)、自我管理行为评分均高于护理前,且观察组高于对照组(P<0。05)。观察组的并发症总发生率为3。64%,低于对照组的14。55%(P<0。05)。护理后,两组的血肌酐(Scr)、尿素氮(BUN)水平均低于护理前,且观察组低于对照组(P<0。05)。观察组的护理满意度为96。36%,高于对照组的83。64%(P<0。05)。结论 基于微信平台的集束化护理可降低血液透析患者动静脉内瘘功能障碍发生率,减少并发症发生风险,改善肾功能,提高患者生活质量及自我管理能力,提升护理满意度。
Effects of cluster nursing based on WeChat platform on quality of life and arteriovenous fistula function in hemodialysis patients
Objective To explore the effects of cluster nursing based on WeChat platform on the quality of life and arteriovenous fistula function of hemodialysis patients.Methods A total of 110 hemodialysis patients admitted from January 2019 to January 2021 were divided into control group(n=55)and observation group(n=55)according to the random number table method.The control group received routine nursing,while the observation group received cluster nursing based on WeChat platform.The occurrence of arteriovenous fistula dysfunction,quality of life,self-management ability,complications,renal function indexes and nursing satisfaction were compared between the two groups.Results The total incidence of arteriovenous fistula dysfunction in the observation group was 5.45%,which was lower than 20.00%in the control group(P<0.05).After nursing,the scores of Generic Quality of Life Inventory-74(GQOLI-74)and self-management behavior in the two groups were higher than those before nursing,and those in the observation group were higher than the control group(P<0.05).The total incidence of complications in the observation group was 3.64%,which was lower than 14.55%in the control group(P<0.05).After nursing,the levels of serum creatinine(Scr)and blood urea nitrogen(BUN)in the two groups were lower than those before nursing,and those in the observation group were lower than the control group(P<0.05).The nursing satisfaction of the observation group was 96.36%,which was higher than 83.64%of the control group(P<0.05).Conclusion The cluster nursing based on WeChat platform can reduce the incidence of arteriovenous fistula dysfunction in hemodialysis patients,decrease the risk of complications,improve renal function,elevate the quality of life and self-management ability of patients,and improve nursing satisfaction.

cluster nursingWeChat platformhemodialysisarteriovenous fistula function

薛娜、周梦妮、石娟

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安康市中心医院,陕西安康,725000

延安大学咸阳医院,陕西咸阳,712000

集束化护理 微信平台 血液透析 动静脉内瘘功能

延安大学咸阳医院2021年度院内科学研究基金项目

2021ZX021

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(20)