基于“互联网+”的医院-社区-家庭一体化中西医结合护理模式对促进自体动静脉内瘘成熟的效果研究  

Study on the effect of hospital-community-family integrated traditional Chinese and Western medicine nursing model based on“Internet+”on promoting the maturation of autologous arteriovenous fistula

作　　者：程冬梅[1] 唐可欣 曾维斯 谢利君 楚鑫[1] CHENG Dongmei;TANG Kexin;ZENG Weisi(Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu Sichuan 610072,China;Chengdu University of Traditional Chinese Medicine,Chengdu Sichuan 610075,China)

机构地区：[1]成都中医药大学附属医院,四川成都610072 [2]成都中医药大学,四川成都610075

出　　处：《四川中医》2024年第7期213-217,共5页Journal of Sichuan of Traditional Chinese Medicine

基　　金：四川省中医管理局课题(项目编号2020lc0084);成都中医药大学附属医院院基金课题(项目编号20HL18);四川省中医管理局课题(项目编号2021MS159)。

摘　　要：目的:探讨“互联网+”医院-社区-家庭一体化中西医结合护理模式在促血液透析患者自体动静脉内瘘成熟中的应用效果。方法:将82例自体动静脉内瘘期患者按照随机数字表法分为对照组和试验组,各41例。对照组术后给予常规延续性护理,试验组实施“互联网+”医院-社区-家庭一体化中西医结合护理模式进行管理。比较两组术前及术后2周、4周、8周及12周瘘静脉血管内径及血管壁厚度,两组内瘘成熟时间,两组内瘘成熟时间及首次透析吻合口自然血流量,术后3、6月透析吻合口自然血流量。结果:两组术后2周、4周、8周的血管内径无统计学意义(P>0.05)。两组术后12周的血管内径有统计学意义(P<0.05)。首次透析吻合口自然血流量无统计学意义(P>0.05),术后3、6月透析吻合口自然血流量有统计学意义(P<0.05)。Objective To investigate the application effect of the“Internet+”hospital-community-family integrated traditional Chinese and Western medicine nursing model in promoting the maturation of autologous arteriovenous fistula in hemodialysis patients.Methods A total of 82patients with autologous arteriovenous fistula were divided into control group and experimental group,with 41cases in each group.The control group was given routine continuous care after surgery,and the experimental group was managed by the“Internet+”hospital-community-family integrated traditional Chinese and Western medicine integrated nursing model.The internal diameter and thickness of fistula vein before and after operation at 2,4,8and 12weeks before and after surgery,the maturation time of the internal fistula between the two groups,the maturation time of the internal fistula and the natural blood flow of the first dialysis anastomosis between the two groups,and the natural blood flow of the dialysis anastomosis at 3and 6months after surgery.Results There were no statistically significant intravascular diameters at 2,4and 8weeks after surgery between the two groups(P>0.05).There was a statistically significant intravascular diameter at 12weeks after surgery between the two groups(P<0.05).There was no statistically significant natural blood flow at the anastomosis for the first dialysis(P>0.05),but there was a statistically significant natural blood flow at the anastomosis for dialysis at 3and 6months after surgery(P<0.05).

关 键 词：“互联网+” 医院-社区-家庭 中西医结合 自体动静脉内瘘 成熟 

分 类 号：R248.1[医药卫生—中医临床基础]