首页|延续护理干预对改善糖尿病肾病患者维持性血液透析中血管通路的有效性及满意度分析

延续护理干预对改善糖尿病肾病患者维持性血液透析中血管通路的有效性及满意度分析

Analysis of the Effectiveness and Satisfaction of Continuous Nursing Inter-vention in Improving Vascular Access during Maintenance Hemodialysis in Diabetic Nephropathy Patients

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目的 探讨糖尿病肾病维持性血液透析(maintenance hemodialysis-diabetic nephropathy,MHD-DN)行延续护理对血管通路的临床影响.方法 选择2021年1月—2023年10月丰县人民医院收治的78例MHD-DN患者,按护理方法不同分为两组,各39例,对照组实施常规护理,观察组实施延续护理.对比两组血管通路使用情况、并发症及护理满意度.结果 观察组动静脉内瘘使用寿命、血流量、长期导管使用寿命均高于对照组,皮肤瘙痒症状积分低于对照组,差异有统计学意义(P均<0.05).观察组并发症发生率低于对照组,差异有统计学意义(P<0.05).观察组护理总满意率高于对照组,差异有统计学意义(P<0.05).结论 延续护理可改善MHD-DN患者血管通路使用情况,减少血管通路并发症,提升患者满意度.
Objective To explore the clinical effect of continuous nursing on vascular access in maintenance hemodialysis-diabetic nephropathy(MHD-DN).Methods A total of 78 patients with MDD-DN admitted to Fengxian People's Hospital from January 2021 to October 2023 were selected and divided into two groups according to different nursing methods,with 39 cases in each group.The control group received routine nursing and the observation group received continuous nursing.The use of vascular access,complications and nursing satisfaction were compared be-tween the two groups.Results The service life of arteriovenous fistula,blood flow and long-term catheter service life in the observation group were higher than those in the control group,and the score of skin pruritus symptom was lower than that in the control group,the differences were statistically significant(all 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).The total satisfaction rate of nursing in the observation group was higher than that in the control group,and the differ-ence was statistically significant(P<0.05).Conclusion Continuous nursing can improve the use of vascular access in patients with MDD-DN,reduce vascular access complications,and enhance patient satisfaction.

Continuous nursingMaintenance hemodialysisDiabetic nephropathy

杨柳

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丰县人民医院血液净化中心,江苏 丰县 221700

延续护理 维持性血液透析 糖尿病肾病

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(15)