自我护理指导在糖尿病肾病患者动静脉内瘘成熟中的应用效果  

The application effect of serf- care instruction in patients with diabetic nephropathy arteriovenous fistula maturation

作　　者：刘丽[1] 汪吉平[1] 李虹[1] 单新莉[1] 

机构地区：[1]蚌埠医学院第一附属医院血透室,安徽蚌埠233004

出　　处：《国际护理学杂志》2011年第3期413-415,共3页international journal of nursing

摘　　要：目的探讨自我护理指导在糖尿病肾病患者动静脉内瘘成熟中的应用效果。方法将45例行动静脉内瘘的糖尿病肾病患者随机分为观察组25例和对照组20例，观察组在常规护理指导的基础上进行个体化的全程自我护理指导，强化自我护理的重要性，并随时监督检查，对照组进行常规的护理指导。观察两组护理指导依从性、护理知识知晓率、内瘘成熟情况，首次穿刺成功率的变化。结果8周后护理指导依从性、护理知识知晓率、内瘘成熟情况，首次穿刺成功率比较有显著性差异（P〈0．05）。结论自我护理指导在糖尿病肾病患者动静脉内瘘成熟中有积极的作用，可以促进动静脉内瘘尽早成熟。Objective To explore the application effect of the self - care instruction in patients with diabetic nephropathy arteriovenons fistula maturation. Methods Forty five patients with diabetic nephropathy arteriovenons fistula were randomly divided into observation group and control group. 20 cases in the control group were treated with normal nursing instruction while the other 25 ones in the observation group , with the whole individual self - care instruction on the basis of nursing instruction and strengthened the importance of self - care instruction and supervised, inspected at any time. Then compared the patients＇nursing guide compliance, nursing knowledge awareness, fishlJa maturation and the first time success rate. Results After eight weeks , the nursing guide compliance, nursing knowledge awareness, fistula maturation and the first time success rate in the observation group were higher than those in the control group （P 〈0. 05） . Conclusions Self-care instruction in patients with diabetic nephropathy arteriovenous fistula maturation has a positive effect, can promote early maturation of arteriovenous fistula.

关 键 词：糖尿病肾病 动静脉内瘘 自我护理 指导 

分 类 号：R473.5[医药卫生—护理学]