以患者需求为导向的阶段性干预结合知信行健康教育在维持性血液透析动静脉内瘘护理中的应用价值  

Application value of patient demand-oriented phased intervention combined with knowledge-belief-practice health education in maintenance hemodialysis arteriovenous fistula nursing

作　　者：徐娟 李花[2] XU Juan;LI Hua(Nephrology Department,Yulin No.2 Hospital,Yulin 719000;Critical Care Medicine Department,the Second Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang 712000,China)

机构地区：[1]榆林市第二医院肾内科,陕西榆林719000 [2]陕西中医药大学第二附属医院重症医学科,陕西咸阳712000

出　　处：《临床医学研究与实践》2024年第14期169-172,共4页Clinical Research and Practice

摘　　要：目的探讨以患者需求为导向的阶段性干预结合知信行健康教育在维持性血液透析动静脉内瘘护理中的应用价值。方法选择2020年9月至2022年9月医院收治的87例维持性血液透析动静脉内瘘术后患者作为研究对象,按照随机数字表法将其分为对照组(43例)和观察组(44例)。对照组接受常规护理,观察组在对照组基础上增加以患者需求为导向的阶段性干预结合知信行健康教育。比较两组的干预效果。结果干预后,观察组的症状管理、并发症预防评分高于对照组(P<0.05)。干预后,观察组的头静脉内径、头静脉血流量大于对照组(P<0.05)。观察组的动静脉内瘘功能优良率高于对照组(P<0.05)。结论以患者需求为导向的阶段性干预结合知信行健康教育可改善维持性血液透析动静脉内瘘术后患者的动静脉内瘘自我护理行为,维持头静脉内径与血流量,减少内瘘失功,值得推广。Objective To explore the application value of patient demand-oriented phased intervention combined with knowledge-belief-practice health education in maintenance hemodialysis arteriovenous fistula nursing.Methods A total of 87 patients undergoing maintenance hemodialysis after arteriovenous fistula surgery admitted in hospital from September 2020 to September 2022 were selected as the research objects.According to the random number table method,the patients were divided into control group(43 cases)and observation group(44 cases).The control group received routine nursing,and the observation group received patient demand-oriented phased intervention combined with knowledge-belief-practice health education on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of symptom management and prevention of complications in the observation group were higher than those in the control group(P<0.05).After intervention,the inner diameter and blood flow of the cephalic vein in the observation group were greater than those in the control group(P<0.05).The excellent and good rate of arteriovenous fistula function in the observation group was higher than that in the control group(P<0.05).Conclusion The patient demand-oriented phased intervention combined with knowledge-belief-practice health education can improve the self-care behavior of arteriovenous fistula in patients undergoing maintenance hemodialysis after arteriovenous fistula surgery,maintain the inner diameter and blood flow of the cephalic vein,and reduce the dysfunction of the internal fistula,which is worthy of promotion.

关 键 词：以患者需求为导向的阶段性干预 知信行健康教育 维持性血液透析 动静脉内瘘 

分 类 号：R473.6[医药卫生—护理学]