血管通路护理小组在深静脉置管行血液透析患者中的应用  

Application of Vascular Access Nursing Group in Hemodialysis Patients Undergoing Deep Vein Catheterization

作　　者：禤杏华[1] 何艳妍[1] 刘少平[1] 

机构地区：[1]中山市小榄人民医院,广东中山528415

出　　处：《齐鲁护理杂志》2017年第11期26-28,共3页Journal of Qilu Nursing

摘　　要：目的:探讨血管通路护理小组在深静脉置管行血液透析患者中的应用效果,为制定优质临床护理方案提供参考。方法:将2015年3月~2016年2月收治的49例深静脉置管行血液透析患者作为对照组,给予常规护理干预;将2016年3月~2017年2月收治的49例作为干预组,在对照组的基础上建立血管通路护理小组。比较两组不同时间点深静脉置管感染率、生活质量评分(SF-36)、护理满意度及并发症。结果:在置管第1、2、3个月,干预组感染率显著低于对照组(P<0.05);干预后两组SF-36评分高于干预前(P<0.05),且干预组干预后SF-36评分高于对照组(P<0.05);干预组护理满意度及并发症发生率均优于对照组(P<0.05)。结论:通过建立血管通路护理小组,加强对深静脉置管患者的护理干预,对预防深静脉置管感染率有显著作用,而且显著提升患者生活质量,降低并发症发生率,提高患者护理满意度。Objective：To investigate the application effect of vascular access nursing group in hemodialysis patients undergoing deep vein catheterization, and to provide reference for developing high quality clinical nursing program. Methods：From March in 2015 to Febru- ary in 2016 ,g9 patients with deep venous catheter were treated with hemodialysis as the control group,and the control group was given the routine nursing intervention. From March in 2016 to February in 2017,49 cases were treated as the intervention group,and the vascular ac- cess nursing group was set up on the basis of the treatment of^the control group. The infection rate, quality of life （SF-36） ,nursing satisfaction rate and complications were compared between two groups at different time points. Results：The infection rate in the intervention group was significantly lower than that in the control group at first, second,third month after the catheterization （P 〈 O. 05 ）. After the intervention, the scores of SF-36 in two groups were significantly higher than those before the intervention （P 〈0.05） ,and the scores of SF-36 in the interven- tion group were higher than those in control group （ P 〈 0.05 ）. The nursing satisfaction and complication rate of the~ intervention group were better than those of the control group （P 〈 0.05 ）. Conclusion：The establishment of vascular access care team not only can strengthen the deep vein tube in patients with nursing intervention, have a significant effect on prevention of deep venous catheter infection rate, but also sig- nificantly improve the quality of life of patients, reduce the incidence of complications, and improve nursing satisfaction of patients.

关 键 词：血管通路护理小组 深静脉置管 血液透析 满意度 

分 类 号：R473.5[医药卫生—护理学]