Study on the application effect of internet-based intelligent gripper to promote maturation of autolo-gous arteriovenous fistula in hemodialysis patients
Objective To study the application effect of internet-based intelligent gripper to promote maturation of autologous arteriovenous fistula(AVF)in hemodialysis patients.Methods A total of 40 pa-tients with end-stage renal disease were recruited and assigned to control group that used traditional grip strength exercise training in The Second Affiliated Hospital of Suzhou University during January 2021 to De-cember 2021;a total of 30 patients using the internet-based intelligent gripper strength training were assigned to research group from January 2022 to December 2022.Maturation rate of the AVF,first puncture time,suc-cess rate of the first puncture,puncture complication,and compliance with postoperative grip strength exer-cise training were compared between the two groups.Results After the surgery for 4 weeks,clinical matura-tion rate(x2=1.542,P=0.228)and ultrasound maturation rate(x2=0.420,P=0.517)had no significant differenc-es between the two groups.After the surgery for 8 weeks,clinical maturation rate(x2=16.324,P＜0.001),ultra-sound maturation rate(x2=12.343,P＜0.001),venous diameter(t=8.358,P＜0.001),and brachial artery flow(r=8.320,P＜0.001)were higher in research group than in controlgroup,and the depth from vein to skin was lower in research group than in control group(r=l 2.718,P＜0.001).In research group,the first use of the AVF was earlier(t=6.665,P＜0.001),the success rate of the first puncture was higher(x2=13.611,P＜0.001),the complication rate was lower(x2=5.605,P=0.018),and the compliance rate with postoperative grip exercise training was higher(x2=7.805,P=0.005),as compared those with control group.Conclusion Internet-based intelligent gripper training can shorten the maturation time of AVF,improve the maturation rate of AVF,en-sure success rate of the first puncture,reduce the incidence of complications,and improve the compliance with grip exercise training in hemodialysis patients.
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