血液透析患者直接动静脉穿刺后皮下血肿的预防与护理对策  

Prevention and Nursing Strategies of Subcutaneous Hematoma after Direct Arteriovenous Puncture in Hemodialysis Patients

作　　者：贾二桃 JIA Er-tao(Baotou Eighth Hospital,Baotou,Inner Mongolia 014040)

机构地区：[1]内蒙古包头市第八医院,内蒙古包头014040

出　　处：《智慧健康》2018年第32期116-117,共2页Smart Healthcare

摘　　要：目的探究血液透析患者直接动静脉穿刺后皮下血肿的预防措施及护理对策。方法将2016年5月至2018年7月医院接收的114例血液透析患者归入本研究,依照数字表法分成两组。57例纳入研究组,行针对性护理,57例纳入对照组,行常规护理。结果研究组的动静脉穿刺成功率(96.49%)、满意度(100.00%)均显著高于对照组(75.44%)、(85.96%),P<0.05;其皮下血肿发生率(5.26%)显著低于对照组(14.04%),P <0.05。结论对直接动静脉穿刺的血液透析患者行针对性护理,既可提高穿刺成功率,又可有效预防皮下血肿,减少护患纠纷,可加强推广。Objective To explore the preventive measures and nursing strategies of subcutaneous hematoma afterdirect arteriovenous puncture in hemodialysis patients. Methods One hundred and fourteen hemodialysis patientsadmitted to our hospital from May 2016 to July 2018 were enrolled in this study and divided into two groups accordingto the digital table method. Fifty-seven patients were enrolled in the study group, and targeted nursing was performed,57 patients were included in the control group and routine nursing was performed. Results The success rate ofarteriovenous puncture (96.49%) and satisfaction (100.00%) in the study group were significantly higher than those inthe control group (75.44%), (85.96%), P<0.05; the incidence of subcutaneous hematoma (5.26%) was significantly lowerthan that in the control group (14.04%), P<0.05. Conclusion Targeted nursing for hemodialysis patients with directarteriovenous puncture can not only improve the success rate of puncture, but also effectively prevent subcutaneoushematoma, reduce the dispute between nurses and patients, and strengthen promotion.

关 键 词：血液透析 动静脉穿刺 皮下血肿 预防 护理 

分 类 号：R473.5[医药卫生—护理学]