Effect of multi-disciplinary treatment applied to patients with pseudoaneurysm of arteriovenous fistula
Objective To explore the effect of multi-disciplinary treatment(MDT)applied to patients with pseudoaneurysm of arteriovenous fistula(AVF).Methods A total of 137 patients with AVF pseudoaneurysm admitted to the hospital from November 2021 to January 2023 were selected as the study subjects.They were divided into a control group of 68 cases and an observation group of 69 cases,based on the principle of comparability of basic characteristics between groups.The control group implemented routine nursing care,which included providing health guidance to patients upon admission to enhance their understanding of the disease,and prompt intervention based on their dialysis condition.After conducting a thorough puncture assessment,nurses could utilize either the jumping or rope ladder puncture technique.Dialysis was performed upon successful completion,followed by applying pressure with gauze to stop bleeding.The observation group set up a fistula-specialized team based on the multidisciplinary treatment model,establishing patient health records for classification and hierarchical management.Team members provided health education before and after dialysis through various methods such as language and demonstration.During dialysis,appropriate blood vessels were selected for the puncture,and hemostatic time was adjusted according to the patient's blood test report.Surgical treatment plans were formulated based on the specific conditions of each patient.The differences in self-care ability,number of punctures,condition of the pseudoaneurysm,quality of life,and incidence of complications between the two groups were observed.Results After 3 month of intervention,the scores of self-care skills,self-concept,health knowledge level,and self-care responsibility in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The average number of punctures and the number pseudoaneurysms of the observation group were less than those of the control group,the pseudoaneurysms in the observational group were smaller than those in the control group,the differences were statistically significant(P<0.05).After 3 months of intervention,the SF-36 total score and the total score of the Kidney Disease and Dialysis-Related Quality of Life Scale in the KDQOL-SFTM scale of observational group were higher than those of the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Compared to receiving routine nursing care alone,applying the MDT model to patients with AVF pseudoaneurysm can reduce the number of punctures,enhance self-care ability,and decrease the incidence of complications.
Multi-disciplinary treatment modelArteriovenous fistulaPseudoaneurysmSelf-care abilityIncidence of complications
万方数据
维普
