维持性血液透析患者内瘘护理专项健康教育分析  

The Analysis of Nursing Care of Patients with Maintenance Hemodialysis

作　　者：安克润[1] 罗小兰[1] 肖洒 

机构地区：[1]四川省凉山州第一人民医院血液净化室,615000

出　　处：《中国全科医学》2017年第A02期293-294,共2页Chinese General Practice

摘　　要：目的讨论维持性血液透析患者经过内瘘护理专项健康教育后的疗效。方法选取2014年2月—2016年9月四川省凉山州第一人民医院肾内科入治的维持性血液透析患者128例,随机分为对照组和试验组,各64例,对照组患者采用一般维持性血液透析护理干预,试验组在对照组的基础上对患者进行内瘘护理专项健康教育,比较两组患者治疗满意度和内瘘相关并发症发生率。结果治疗后,试验组患者总满意率高于对照组患者(P<0.05);试验组患者血栓形成、内瘘感染、内瘘动脉瘤发生率低于对照组(P<0.05)。结论在维持性血液透析治疗过程中,配合内瘘护理专项健康教育可降低患者内瘘并发症发生率,也提高患者治疗满意度,值得大幅度推广。Objective To discuss the curative effect of maintenance hemodialysis patients on the special health education of internal fistula. Methods 128 Maintenance hemodialysis patients in the Kidney Disease of Internal of Liangshan Yi Autonomous Prefecture First People’s Hospital from February 2014 to September 2016 were randomly divided into control group and experimental group, 64 cases in each group, control group patients with ordinary maintenance hemodialysis nursing intervention,patients in the experimental group got internal fistula nursing special health education in addition to ordinary maintenance hemodialysis nursing intervention, then compared two groups of patients satisfaction and internal fistula related complications. Results After treatment,the total satisfaction rate of patients in the experimental group was higher than that in the control group（ P 〈 0. 05）. The incidence of thrombosis, internal fistula infection and intra-fistula aneurysms in the experimental group was lower than that in the control group（ P 〈 0. 05）. Conclusion In the process of maintenance hemodialysis therapy,cooperating with fistula in special nursing health education could decrease the incidence of complications in patients with fistula,and improve patient satisfaction,is worth popularizing greatly.

关 键 词：肾透析 护理 健康教育 

分 类 号：R459.5[医药卫生—治疗学]