住院-门诊血液透析患者血管通路一体化医护随访管理新模式初探  

Exploration of a new model for integrated medical and nursing follow-up management of vascular access for patients with hemodialysis during hospitalization and outpatient period

作　　者：王静 曾英 朱林芳 余少斌[2] 袁怀红 WANG Jing;ZENG Ying;ZHU Linfang;YU Shaobin;YUAN Huaihong(Department of Nephrology,West China Hospital,Sichuan University/West China School of Nursing,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Department of Nephrology,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院肾脏内科/四川大学华西护理学院,成都610041 [2]四川大学华西医院肾脏内科,成都610041

出　　处：《华西医学》2024年第3期490-493,共4页West China Medical Journal

基　　金：四川省科学技术厅科普培训项目(2021JDKP0084);四川大学华西护理学科发展专项基金(HXHL21015)。

摘　　要：目前我国血液透析用血管通路全生命周期管理尚处于起步阶段,面对庞大的慢性肾脏病患者群体,各级医院均缺乏系统化、连续性的护理管理模式。为解决患者从自体动静脉内瘘手术住院到门诊维持性血液透析治疗期间,对透析用血管通路缺乏连续有效护理管理的问题,该文介绍了四川大学华西医院温江院区血液透析中心构建的住院-门诊血液透析患者血管通路一体化医护随访管理新模式构建的背景、具体实施方法、取得的初步成效等,旨在探索血液透析患者血管通路连续有效管理的新模式。At present,the whole lifecycle management of vascular access for hemodialysis in China is still in its early stages.Faced with a large group of chronic kidney disease patients,hospitals at all levels lack systematic and continuous nursing management models.To address the issue of lacking continuous and effective nursing management of vascular access for dialysis during the period from hospitalization for autologous arteriovenous fistula surgery to outpatient maintenance hemodialysis treatment,this article introduces the background,specific implementation methods,and preliminary results of the new model of integrated medical and nursing follow-up management of vascular access for patients with hemodialysis during hospitalization and outpatient period constructed by the Wenjiang Hemodialysis Center of West China Hospital,Sichuan University.The purpose is to explore a new model for continuous and effective management of vascular access for hemodialysis patients.

关 键 词：自体动静脉内瘘 一体化医护管理 随访管理 

分 类 号：R473.5[医药卫生—护理学]