血液透析内瘘并发症的预防性护理方式研究  

Study on the preventive nursing methods of complication of hemodialysis fistula

作　　者：罗根英[1] 熊军英 黄红义[1] 

机构地区：[1]江西省丰城市人民医院血液净化科,江西丰城331100

出　　处：《上海医药》2018年第2期28-29,34,共3页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的 :研究血液透析内瘘并发症的预防性护理方式和效果。方法 :选择2014年9月—2016年8月进行血液透析患者60例,分为预防组和常规组各30例。常规组采取常规护理,预防组根据血液透析内瘘并发症发生原因予以预防性护理,观察两组内瘘并发症发生情况和护理满意情况。结果 :预防组内瘘并发症发生率和患者护理满意率分别为10.0%(3/30)和93.7%(28/30);常规组分别为30.0%(9/30)和66.7%(20/30),组间差异均有统计学意义(P<0.05)。结论 :预防性护理可有效预防和减少血液透析内瘘并发症的发生,提高患者护理满意度,值得应用和推广。Objective： To study the preventive nursing methods and effects of hemodialysis fistula complications. Methods： From September 2014 to August 2016 60 cases of hemodialysis patients were selected and divided into a prevention group and a routine group with 30 cases each. Routine nursing care was taken in the routine group, preventive nursing care was given to the prevention group according to the complications of hemodialysis internal fistula, and the complications of internal ？stula and the nursing satisfaction of the two groups were observed. Results： The incidence of complications and the nursing satisfaction rate of patients in the prevention group were 10.0%（3/30） and 93.7%（28/30）, respectively. The incidence of complications and the satisfaction rate of patients in the routine group was 30.0%（9/30） and 66.7%（20/30）, and the diferences between the two groups were statistically signi？cant （P〈0.05）. Conclusion： Preventive nursing care can efectively prevent and reduce the incidence of complications of hemodialysis internal ？stula, improve the patient satisfaction with nursing, and is worthy of application and promotion.

关 键 词：预防性护理 血液透析 内瘘 并发症 

分 类 号：R459.5[医药卫生—治疗学]