钝针扣眼穿刺在血液透析患者动静脉内瘘中的应用及护理  

Application of buttonhole puncture method with blunt needle in hemodialysis patients with internal arteriovenous fistula and its nursing

作　　者：张仲燕[1] 

机构地区：[1]云南省保山市人民医院肾内科,云南宝山678000

出　　处：《中西医结合护理（中英文）》2015年第3期38-39,45,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨钝针扣眼穿刺法在血液透析患者动静脉内瘘中的应用和护理措施。方法 42例采用钝针扣眼法穿刺的血液透析患者随机分为研究组和对照组,各21例。对照组常规护理,研究组在对照组基础上实施针对钝针扣眼穿刺护理干预措施。对比2组穿刺点渗血和内瘘并发症发生情况,视觉模拟评分法(VAS)评价疼痛程度,自制满意度量表评价护理满意度。结果研究组穿刺点渗血发生率为4.0%(2/50),內瘘并发症发生率为4.8%(1/21),低于对照组的16.0%(8/50)和28.6%(6/21),差异有统计学意义(P<0.05)。研究组护理满意度高于对照组,VAS疼痛评分低于对照组,差异有统计学意义(P<0.05)。结论针对钝针扣眼穿刺护理干预可有效降低患者內瘘并发症的发生率,减轻患者疼痛程度。Objective To discuss application of buttonhole puncture method with blunt nee- dle in hemodialysis patients with internal arteriovenous fistula operation and its nursing. Methods A total of 42 hemodialysis patients with internal arteriovenous fistula operation were randomly divided into study group （ n = 21 ） and control group （ n = 21 ）. The control group was given conventional nursing and the study group applied nursing intervention for buttonhole puncture. The incidence of bleeding at puncture point and fistula - induced complication were observed between two groups. The degree of pain was assessed by Visual Analog Scale （VAS） and nursing satisfaction rate was investigated by self -made questionnaire. Results The incidence of bleeding at puncture point and fistula - induced complication were 4.0% （2/50） and 4.8% （ 1/21 ）, which were significantly higher than 16.0% （8/ 50） and 28.6% （6/21） in the observation group （P 〈 0.05 ）. The study group had higher satisfaction rate and lower VAS score compared with the controls （P 〈 0.05）. Conclusion Nursing intervention for buttonhole puncture of blunt needle can reduce the incidence of fistula - induced complication and relieve pain of patients.

关 键 词：动静脉内瘘 透析 钝针扣眼穿刺法 

分 类 号：R473.5[医药卫生—护理学]