预行动静脉内瘘手术患者血管保护的研究进展  

Advances in the Study of Vascular Protection in Patients with Anticipatory to Creation of Arteriovenous Fistula

作　　者：袁艳艳 杨玉金[1] 郑春艳[1] 王苏敏 甘红艳 逯莹 YUAN Yan-yan;YANG Yu-jin;ZHENG Chun-yan;WANG Su-min;GAN Hong-yan;LU Ying(Department of Vascular Surgery,the Second Affiliated Hospital;School of Nursing,Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学第二附属医院血管外科,南昌330006 [2]南昌大学护理学院,南昌330006

出　　处：《实用临床医学（江西）》2022年第1期120-124,共5页Practical Clinical Medicine

基　　金：江西省科技厅应用研究培育计划项目(20212BAG70011)。

摘　　要：动静脉内瘘(AVF)是维持性血液透析患者首选的血管通路,晚期尿毒症患者缺乏血管通路的教育和建议。预行AVF手术患者血管保护能力处于较低水平,文化程度、社会支持、医护人员因素及相关知识的缺乏均是患者血管保护的影响因素。血管保护的内容包括避免血管损伤、改善血管条件、积极治疗原发疾病等。血管保护的评估工具包括预行AVF手术自我护理行为量表和汉化版。针对患者血管保护的影响因素及血管保护的内容进行健康知识宣教、实施个性化的延续性护理干预等对患者血管保护、术后内瘘的成熟和通畅起着重要的作用。Arteriovenous fistula is the preferred vascular access for maintenance hemodialysis patients.Patients with advanced uremia lack education and suggestions on vascular access.The vascular protection ability of patients undergoing pre action internal venous fistula surgery is at a low level.The influencing factors of vascular protection are education level,social support,medical staff factors and lack of relevant knowledge.Among them,the contents of vascular protection include avoiding vascular injury,improving vascular conditions,and actively treating primary diseases.The evaluation tools of vascular protection include pre action internal venous fistula surgery self-care behavior scale and Chinese version.Therefore,according to the influencing factors and contents of vascular protection,health knowledge education and personalized continuous nursing intervention play an important role in vascular protection and the maturity and patency of postoperative internal fistula.

关 键 词：动静脉内瘘手术 预行 血管保护 研究进展 

分 类 号：R473.6[医药卫生—护理学]