风险防范管理理念指导下的护理干预在维持性血液透析患者血管通路维护管理中的应用效果  

Application Effect of Nursing Intervention Guided by Risk Prevention Management Philosophy in Vascular Access Maintenance and Management of Maintenance Hemodialysis Patients

作　　者：王利娜 石艳娟 许冰冰 李素娜[1] WANG Li-na;SHI Yan-juan;XU Bing-bing;LI Su-na(First People's Hospital Future Road Campus Hemodialysis Room,Pingdingshan 467000,Henan Province,China)

机构地区：[1]平顶山市第一人民医院未来路院区血液透析室,河南平顶山467000

出　　处：《罕少疾病杂志》2024年第8期146-147,152,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨风险防范管理理念指导下的护理干预在维持性血液透析患者血管通路维护管理中的应用效果。方法采用便利抽样法选取2021年8月~2023年8月在本院进行就诊的维持性血液透析患者120例,信封法对研究人员进行分组隐匿,依据对应随机数字将患者分配至对照组(n=60)和观察组(n=60)。对照组采用常规护理,观察组采用风险防范管理理念指导下的护理干预。统计两组并发症发生情况、临床指标、患者满意度。结果观察组并发症总发生率1.67%低于对照组(P<0.05),观察组白蛋白、肌酐、血红蛋白均高于对照组(P<0.05),MIS评分低于对照组(P<0.05),观察组患者满意度98.33%高于对照组(P<0.05)。结论风险防范管理理念指导下的护理干预在维持性血液透析患者血管通路维护管理中具有显著的应用效果,在并发症发生率、临床指标、患者满意度等方面均表现出明显的优势。Objective To explore the application effect of nursing interventions guided by the concept of risk prevention management in the maintenance and management of vascular access in maintenance hemodialysis patients.Methods Convenience sampling was used to select 120 maintenance hemodialysis patients who visited our hospital from August 2021 to August 2023.The researchers were grouped using envelope method and assigned to a control group(n=60)and an observation group(n=60)based on corresponding random numbers.The control group received routine care,while the observation group received nursing interventions guided by risk prevention management concepts.Statistically analyze the incidence of complications,clinical indicators,and patient satisfaction in two groups.Results The total incidence of complications in the observation group was 1.67%lower than that in the control group(P<0.05),and the levels of albumin,creatinine,and hemoglobin in the observation group were higher than those in the control group(P<0.05).The MIS score was lower than that in the control group(P<0.05),and the satisfaction rate of patients in the observation group was 98.33%higher than that in the control group(P<0.05).Conclusion Nursing interventions guided by the concept of risk prevention management have significant application effects in the maintenance and management of vascular access in maintenance hemodialysis patients.They have shown significant advantages in the incidence of complications,clinical indicators,patient satisfaction,and other aspects.

关 键 词：维持性血液透析 风险防范管理 血管通路 

分 类 号：R459.5[医药卫生—治疗学]