内瘘再循环对血液透析患者生活质量的影响  

Influence of fistula recirculated on the hemodialysis patient quality of life

作　　者：胡志恒[1] 莫国华[1] 李运梅[1] 陈荣姣[1] 

机构地区：[1]桂林医学院附属医院儿科,广西桂林541001

出　　处：《华夏医学》2011年第4期445-448,共4页Acta Medicinae Sinica

基　　金：广西卫生厅(Z2007241)

摘　　要：目的:通过监测维持性血液透析(MHD)患者自体动静脉内瘘再循环率(R%),探讨其对血透患者生存质量的影响。方法:120例MHD患者采用尿素2针法测定内瘘再循环率,同时,测定患者尿素清除指数(KT/V)及动静脉压力值,并对以上患者进行认知、心理干预、透析时卧位及饮食、营养指导,并关注其社会和家庭支持。干预时间为6个月,采用KDQOL量表问卷分别于干预前、干预后6个月评估两组患者的生活质量。结果:120例患者均成功进行了内瘘再循环率的测定,30例再循环率>10%,占25%。护理干预前后,患者的生存质量在KDQOL量表总分有显著性差异(P<0.01)。结论:内瘘再循环率值与患者生存质量呈明显负相关性,通过护理干预措施可以减少或避免内瘘再循环,提高MHD患者生存质量。Objective： Monitoring autologous arteriovenous fistula recirculation rate（R%） of maintenance hemodialysis（MHD） patients,to investigate its effect on the life of hemodialysis patients.Methods： using urea 2 needling method to determine internal fistula recycling rate of 120 patients with MHD,at the same time,patient urea clearance index（KT/V） and arteriovenous pressure value were determined,and cognitive,psychological intervention,recumbent and diet of dialysis,nutrition,social and family support were analyzed.After 6 month intervention,the life quality was assessed by analyzing KDQOL questionnaires before and after intervention.Result： All 120 patients underwent successful fistula recirculation rate determination,recirculation rate of 30 cases 10%,25% of the total cases.KDQOL scores of life quality had significant difference before and after the intervention（P0.01）.Conclusion： Fistula recirculation rate and life quality of patients is significantly negative correlation,through active intervention,fistula recirculation could be reduced or avoided and patient life quality could be improved.

关 键 词：血液透析 内瘘再循环 生存质量 

分 类 号：R459.5[医药卫生—治疗学]