慢性血液透析患者动静脉内瘘的护理  

Nursing Care of Arteriovenous Fistula in Patients with Chronic Hemodialysis

作　　者：陈凤香 陈常莲 CHEN Fengxiang;CHEN Changlian(Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine,Nanchang 330006,China)

机构地区：[1]江西中医药大学附属医院,江西南昌330006

出　　处：《中国医药指南》2022年第24期159-161,共3页Guide of China Medicine

摘　　要：目的 本文对慢性血液透析动静脉内瘘患者应用相关护理方法,并对其效果进行详细分析总结。方法 以2019年1月至2020年1月70例在我院行慢性血液透析于动静脉内瘘术患者为本次研究对象,研究期间对所有患者应用不同的护理干预,组别以B组和A组区分,干预方法以综合护理、常规护理区分。并在研究期间重点对两组患者并发症概率、生活质量改善状况进行对比分析。结果 两组患者护理前对比结果显示无意义P> 0.05。A组患者护理后焦虑(28.41±4.42)分、抑郁情绪(21.38±4.19)分、生理功能(75.43±6.14)分、躯体功能(59.38±18.42)分、社会功能(55.43±16.67)分、物质生活状态(44.45±10.23)分、血管栓塞4例占比8%、内瘘狭窄5例占比10%与B组护理后焦虑(25.56±2.57)分、抑郁情绪(20.04±2.45)分、生理功能(80.38±6.59)分、躯体功能(75.43±18.70)分、社会功能(70.18±18.29)分、物质生活状态(58.85±11.48)分、血管栓塞1例占比2%、内瘘狭窄2例占比4%对比结果显示P <0.05,有可比性。结论 根据以上表述,将综合护理干预应用于此类患者护理中,能够明显提升患者的临床护理效果,建议提倡。Objective To apply relevant nursing methods to patients with arteriovenous fistula in chronic hemodialysis,and to analyze and summarize the effect in detail.Methods Seventy patients who underwent chronic hemodialysis for arteriovenous fistula in our hospital from January 2019 to January 2020 were selected as the research object.Different nursing interventions were applied to all patients during the study.The patients were divided into group B and group A,and the intervention methods were divided into comprehensive nursing and routine nursing.During the study,the probability of complications and the improvement of quality of life of the two groups were compared and analyzed.Results The comparison results before nursing in the two groups showed no significance,P>0.05.Anxiety(28.41±4.42)points,depression(21.38±4.19)points,physiological function(75.43±6.14)points,physical function(59.38±18.42)points,social function(55.43±16.67)points,material life(44.45±10.23)points,vascular embolism 8%in 4 cases,internal fistula stenosis 5 cases 10%in group A.Anxiety was(25.56±2.57)points depression was(20.04±2.45),physiological function was(80.38±6.59),physical function was(75.43±18.70),social function was(70.18±18.29),material life status was(58.85±11.48),vascular embolism accounted for 2%and internal fistula stenosis accounted for 4%in group B.The comparison results showed that the P<0.05,which was comparable.Conclusion According to the above statements,the application of comprehensive nursing intervention in the nursing of such patients can significantly improve the clinical nursing effect of patients,which is recommended to be advocated.

关 键 词：动静脉 护理对策 内瘘 慢性血液透析 

分 类 号：R473[医药卫生—护理学]