高危自体动静脉内瘘的管理实践研究  

Study on the management practice of high-risk autogenous arteriovenous fistula

作　　者：李敏 张帆[1] 董艳[1] 李浩 李梦溪 LI Min;ZHANG Fan;DONG Yan;LI Hao;LI Mengxi(People′s Hospital of Leshan City,Sichuan Province,Leshan 614000,China)

机构地区：[1]四川省乐山市人民医院,乐山614000

出　　处：《当代护士（中旬刊）》2022年第2期65-67,共3页Modern Nurse

摘　　要：目的探讨高危自体动静脉内瘘的管理实践。方法选取2019年9月—2020年4月在本科室规律进行血液透析大于1年、每周透析2~3次且自愿参加本研究的21名高危自体动静脉内瘘患者作为研究对象,观察并比较实施高危内瘘管理前后患者的一次性穿刺成功率、内瘘穿刺时疼痛评分及患者满意度情况。结果实施高危内瘘管理后患者的一次性穿刺成功率及满意度得分均高于实施前,内瘘穿刺时疼痛评分低于实施前,差异均有统计学意义(P<0.05)。结论实施高危自体动静脉内瘘管理能提高患者一次性穿刺成功率,减轻患者内瘘穿刺时的疼痛,并能提高患者对护理工作的满意度。Objective Discuss the management practice of high-risk autogenous arteriovenous fistula.Methods From September 2019 to April 2020,21 high-risk autologous arteriovenous fistula patients who were regularly undergoing hemodialysis in our department for more than 1 year, dialysis 2~3 times a week, and volunteered to participate in this study were selected as the research objects.The one-time puncture success rate of patients before and after the implementation of high-risk internal fistula management, pain score during internal fistula puncture, and patient satisfaction were compared between the two groups.Results After the implementation of high-risk internal fistula management, the one-time puncture success rate and satisfaction score of patients were higher than before implementation, and the pain score during internal fistula puncture was lower than before implementation, the difference was statistically significant(P<0.05).Conclusion Implementing high-risk autogenous arteriovenous fistula management can improve the success rate of patients′ one-time puncture, reduce the pain of patients during puncture of internal fistula, and improve patients′ satisfaction with nursing work.

关 键 词：血液透析 高危自体动静脉内瘘 管理 

分 类 号：R473.5[医药卫生—护理学]