首页|赋能教育配合无缝隙护理预防MHD患者AVF并发症的临床价值

赋能教育配合无缝隙护理预防MHD患者AVF并发症的临床价值

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目的 观察赋能教育配合无缝隙护理模式预防维持性血液透析(maintenance hemodialysis disease,MHD)患者动静脉内瘘(arteriovenous fistula,AVF)并发症的价值。方法 选取2021 年 6 月—2023 年 6 月于福建医科大学附属第二医院东海院区接受MHD的 280 例患者。按收治时间进行分组,其中2021 年 6 月—2022 年 5 月收治的患者纳入对照组(n= 140),2022 年 6 月—2023 年 6 月收治的患者纳入研究组(n= 140)。对照组行常规护理,研究组在其基础上予以赋能教育配合无缝隙护理。观察2组内瘘闭塞、动脉瘤样扩张情况、AVF发生情况,评估 2 组患者干预前后的生活质量。结果 干预后,研究组内瘘闭塞发生率、动脉瘤样扩张发生率分别为 4。29%、7。86%,低于对照组的 10。71%、16。43%(P<0。05)。研究组患者AVF并发症总发生率为 5。71%,低于对照组的 17。14%(P<0。05)。干预后 2 组健康、情感以及心理评分均增加,且研究组高于对照组(P<0。05)。结论 赋能教育配合无缝隙护理模式能够有效预防MHD患者AVF并发症的发生,同时有利于MHD患者生活质量的提高。
The Clinical Value of Empowering Education Combined With Seamless Care in Preventing AVF Complications in MHD Patients
Objective To observe the value of empowering education combined with seamless nursing mode in preventing complications of arteriovenous fistula(AVF)in maintenance hemodialysis disease(MHD)patients.Methods A total of 280 MHD patients who underwent MHD at Donghai Hospital,Second Affiliated Hospital of Fujian Medical University from June 2021 to June 2023 were selected.Patients admitted from June 2021 to May 2022 were included in the control group(n=140),and patients admitted from June 2022 to June 2023 were included in the study group(n=140).The control group received routine care,while the research group received empowerment education in combination with seamless nursing mode on the basis of the control group.Internal fistula occlusion rate,aneurysm like dilation rate and AVF in 2 groups were observed,and the quality of life before and after intervention was evaluated.Results After intervention,the internal fistula occlusion rate and aneurysm like dilation rate of the study group were 4.29%and 7.86%,respectively,lower than the control group's 10.71%and 16.43%(P<0.05).In addition,the total incidence of AVF complications in the study group was 5.71%,lower than the 17.14%in the control group(P<0.05).After intervention,the health,emotional,and psychological scores of both groups increased,and the scores of patients in the study group were higher than those in the control group(P<0.05).Conclusion Empowerment education combined with seamless nursing mode can effectively prevent AVF complications in MHD patients,and is beneficial for improving the quality of life of MHD patients.

empowering educationseamless caremaintenance hemodialysisarteriovenous fistulacomplicationsapplication value

王志珠、陈水凤、苏波汝

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福建医科大学附属第二医院东海院区血液净化中心,福建 泉州 362000

赋能教育 无缝隙护理 维持性血液透析 动静脉内瘘 并发症 应用价值

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(4)
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