血液透析护理门诊个体化指导对糖尿病肾病透析患者自体动静脉内瘘维护效果的影响  

Influence of the individualized guidance on the maintenance effect of the autoimmune fistula in diabetic nephrotic dialysis patients

作　　者：刘婉珊[1] 李英娜[1] 柳惠玉[1] 江燕琼[1] 李月明[1] 刘学[1] LIU Wan-shan;LI Ying-na;LIU Hui-yu;JIANG Yan-qiong;LI Yue-ming;LIU Xue(Blood Purification Center,Guangzhou First People′s Hospital,Guangdong Province,Guangzhou,510180,China)

机构地区：[1]广州市第一人民医院血液净化中心,广东广州510180

出　　处：《中国当代医药》2020年第5期222-225,共4页China Modern Medicine

摘　　要：目的探讨血液透析(HD)护理门诊个体化指导对糖尿病肾病(DN)维持血液透析患者(MHD)自体动静脉内瘘使用效果的影响。方法选取2017年2月~2018年8月我院血透中心使用动静脉内瘘MHD的60例DN患者,DN MHD使用动静脉内瘘透析的患者随机分为两组,对照组(n=30)采用常规护理方案进行动静脉内瘘护理,观察组(n=30)采用HD护理门诊就诊指导进行动静脉内瘘护理,观察两组内瘘成熟时间,阻塞、狭窄、血栓、感染等发生情况。结果观察组内瘘成熟时间早于对照组(P<0.01),并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论动静脉内瘘是DN患者MHD重要保障,通过包括HD护理门诊的个体化指导的综合护理措施,能缩短内瘘成熟时间、减少并发症发生率。Objective To explore the influence of personalized guidance on the use of arteriovenous fistula in patients with diabetic nephropathy(DN)on maintenance hemodialysis(MHD)in nurse clinic.Methods A total of 60 patients with DN on MHD in our center from February 2017 to August 2018 participated in this study.They were randomly divided into two groups,including control group(n=30)with routine care and observation group(n=30)with personalized guidance.Time to maturity for fistula,and complication(fistula obstruction,fistula stenosis,and thrombosis)were observed during this study.Results Time to maturity for fistula was shorter in observation group than that in control group(P<0.01),and the total incidence of complications in observation group was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion Arteriovenous fistula is an important guarantee for DN patients to undergo MHD.Personalized guidance in the nurse clinic helps to shorten time to maturity and decrease total incidence of complications.

关 键 词：糖尿病肾病 血液透析 动静脉内瘘 护理门诊 

分 类 号：R473.5[医药卫生—护理学]