首页|早期分级个性化防控护理在血液透析患者自体动静脉内瘘血栓预防中的应用

早期分级个性化防控护理在血液透析患者自体动静脉内瘘血栓预防中的应用

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目的 探讨早期分级个性化防控护理在血液透析患者自体动静脉内瘘血栓预防中的应用。方法 于2023年6月-2024年6月期间选取我院收治的血液透析患者92例为研究对象,基于随机数表法将患者分为观察组及对照组,每组各46例。对照组行常规性护理,观察组在对照组基础上实施早期分级个性化防控护理,比较两组干预前后自我护理能力及患者生活质量,并记录两组自体动静脉内瘘血栓及相关并发症发生率。结果 干预后观察组血液透析内瘘自我护理的评估量表(ASBHD-AVF)及简明健康简表(SF-36)相关维度评分较对照组显著提升(P<0。05)。观察组自体动静脉内瘘血栓发生率及其他相关并发症(血管狭窄、内瘘闭塞)发生率低于对照组(P<0。05)。结论 早期分级个性化防控护理能有效提升血液透析自体动静脉内瘘患者自我管理能力,可有效预防动静脉内瘘血栓及相关并发症的发生,提升患者生活质量。
Application of early graded personalized prevention and control nursing in the prevention of autologous arteriovenous fistula thrombosis in hemodialysis patients
Objective To explore the application of early graded individualized prevention and control nursing in the prevention of autologous arteriovenous fistula thrombosis in hemodialysis patients.Methods 92 cases of hemodialysis patients from our hospital were selected as research subjects from June 2023 to June 2024.The patients were divided into observation group(n=46)and control group(n=46)based on the random number table method.The control group were received with routine nursing care,while the observation group were received with early graded individualized prevention and control nursing care on the basis of the control group.The self-care ability and patient quality of life of two groups were compared before and after intervention.And record the incidence of thrombosis and related complications in two groups of autogenous arteriovenous fistula.Results The scale for self-care of hemodialysis fistula(ASBHD-AVF)and the Short Form of Health(SF-36)related dimension scores of observation group were significantly improved than control group after intervention(P<0.05).The incidence of thrombosis and other related complications(Vascular stenosis,internal fistula occlusion)of observation group were lower than control group(P<0.05).Conclusion Early graded individualized prevention and control nursing can effectively improve the self-management ability of hemodialysis patients with arteriovenous fistula,prevent arteriovenous fistula thrombosis and related complications,and improve the quality of life of patients.

Early graded individualized prevention and control nursingHemodialysisAutogenous arteriovenous fistula

刘朔

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天津市第三中心医院,天津 300000

早期分级个性化防控护理 血液透析 自体动静脉内瘘

2025

首都食品与医药
《首都医药》杂志社

首都食品与医药

影响因子:0.389
ISSN:1005-8257
年,卷(期):2025.32(2)