首页|分阶段延续护理干预对提高血液透析患者动静脉内瘘自我护理能力的影响

分阶段延续护理干预对提高血液透析患者动静脉内瘘自我护理能力的影响

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目的 研究分阶段延续护理干预对提高血液透析患者动静脉内瘘自我护理能力的影响.方法 选取2019年11月-2021年12月在我院诊治的86例血液透析患者为研究对象,采用随机数字表法分为对照组和观察组,各43例.对照组采用常规护理,观察组采用分阶段延续护理干预,比较两组患者平均内瘘使用时间、内瘘成熟率、自我护理能力、护理满意度、并发症发生率.结果 观察组平均内瘘使用时间长于对照组,内瘘成熟率高于对照组(P<0.05);两组干预后自我护理能力各维度(自护技能、自护责任感、自我概念、疾病健康知识)评分均高于干预前,且观察组高于对照组(P<0.05);观察组护理满意度为93.02%,高于对照组的79.07%(P<0.05);观察组并发症发生率为9.30%,低于对照组的20.93%(P<0.05).结论 分阶段延续护理干预可提高血液透析患者动静脉内瘘自我护理能力,延长内瘘使用时间,降低并发症发生率,提升护理满意度,提高内瘘成熟率.
Effect of Staged Continuous Nursing Intervention on Improving the Self-care Ability of Arteriovenous Fistula in Hemodialysis Patients
Objective To study the effect of staged continuous nursing intervention on improving the self-care ability of arteriovenous fistula in hemodialysis patients.Methods A total of 86 hemodialysis patients diagnosed and treated in our hospital from November 2019 to December 2021 were selected as the research objects.They were divided into control group and observation group by random number table method,with 43 patients in each group.The control group was treated with routine nursing,and the observation group was treated with staged continuous nursing intervention.The average fistula use time,fistula maturation rate,self-care ability,nursing satisfaction and complication rate were compared between the two groups.Results The average use time of internal fistula in the observation group was longer than that in the control group,and the maturation rate of internal fistula was higher than that in the control group(P<0.05).The scores of each dimension of self-care ability(self-care skills,self-care responsibility,self-concept,disease health knowledge)in the two groups after intervention were higher than those before intervention,and those in the observation group were higher than those in the control group(P<0.05).The nursing satisfaction of the observation group was 93.02%,which was higher than 79.07%of the control group(P<0.05).The incidence of complications in the observation group was 9.30%,which was lower than 20.93%in the control group(P<0.05).Conclusion Staged continuous nursing intervention can improve the self-care ability of arteriovenous fistula in hemodialysis patients,prolong the use time of arteriovenous fistula,reduce the incidence of complications,improve nursing satisfaction and improve the maturity rate of arteriovenous fistula.

Staged continuous nursingHemodialysisArteriovenous fistulaSelf-care ability

李娟

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安福县人民医院血液透析室,江西 安福 343200

分阶段延续护理 血液透析 动静脉内瘘 自我护理能力

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(11)