出 处:《中外医疗》2022年第12期139-142,147,共5页China & Foreign Medical Treatment
基 金:茂名市科技计划项目(2020008)。
摘 要:目的探讨预见性护理干预应用于掌上B超引导动静脉内瘘穿刺中的护理效果分析。方法便利选取2019年7月—2020年7月该院收治的行腕部桡动脉-头静脉自体动静脉内瘘成形术患者160例,运用随机数表法将患者均分为两组,各80例。对照组患者运用常规护理+掌上B超引导下穿刺,研究组采用掌上B超引导下穿刺+预见性护理。比较两组患者一次性穿刺成功率、血流量充分率、出血阳性率及穿刺评估时间、穿刺时间和平均尝试次数,统计两组患者穿刺相关并发症发生情况。结果研究组患者一次性穿刺成功率、血流量充分率分别为93.75%、95.00%,明显高于对照组72.50%、80.00%,出血阳性率为3.75%,较对照组15.00%显著偏低,差异有统计学意义(χ^(2)=12.878、8.229、5.959,P<0.05)。研究组穿刺评估时间(2.43±0.87)min、穿刺时间(1.87±0.47)min及平均尝试次数(1.07±0.33)次均明显少于对照组(5.51±1.28)min、(3.42±1.13)min、(1.45±0.58)次,差异有统计学意义(t=17.800、11.328、5.093,P<0.05)。研究组患者穿刺相关并发症发生率为3.75%,较对照组13.75%明显偏低,差异有统计学意义(χ^(2)=5.010,P<0.05)。结论预见性护理干预在掌上B超引导动静脉穿刺过程中的应用效果较好,可有效提高一次性穿刺成功率和血流量充分率,减少出血阳性率和穿刺平均尝试次数,缩短穿刺评估时间和穿刺耗时,可减少穿刺相关并发症的发生。Objective To explore the effect of predictive nursing intervention in palmtop B ultrasound-guided puncture of arteriovenous fistula.Methods A total of 160 patients who underwent auto transplantation of arteriovenous fistula from radial artery to cephalic vein in wrist in the hospital from July 2019 to July 2020 were conveniently selected.They were divided into two groups according to the random number table method,with 80 cases in each group.The patients in the control group were treated with routine nursing care+handheld B-ultrasound-guided puncture,while those in the study group were treated with handheld B-ultrasound-guided puncture+predictive nursing care.The one-time puncture success rate,blood flow sufficiency rate,bleeding positive rate,puncture evaluation time,puncture time and average attempt times of patients in the two groups were compared,and the incidence of puncture-related complications in the two groups were counted.Results The success rate of one-time puncture and the sufficient rate of blood flow were 93.75%and 95.00%respectively in the study group,which were significantly higher than 72.50%and 80.00%in the control group.The positive rate of hemorrhage was 3.75%,which was lower than the control group of 15.00%,and the difference was statistically significant(χ^(2)=12.878,8.229,5.959,P<0.05).The puncture evaluation time,puncture time,and average number of attempts in the study group were(2.43±0.87)min,(1.87±0.47)min,and(1.07±0.33)times respectively,which were significantly lower than those of the control group(5.51±1.28)min,(3.42±1.13)min,(1.45±0.58)times,the difference was statistically significant(t=17.800,11.328,5.093,P<0.05).The probability of puncture-related complications of the study group 3.75%was significantly lower than the control group 13.75%,and the difference was statistically significant(χ^(2)=5.010,P<0.05).Conclusion The predictive nursing intervention has a good effect in the palmtop B ultrasound-guided arteriovenous puncture.It can effectively improve the success rate of
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