电子穿刺图谱在动静脉内瘘血液透析患者中的应用效果  

The effectiveness of applying the electronic puncture atlas in patients with arteriovenous fistula hemodialysis

作　　者：舒鹏 霍杉杉 李晨晨 王莉[2] 徐芳[1] SHU Peng;HUO Shanshan;LI Chenchen;WANG Li;XU Fang(Blood Purifying Center,The Central Hospital of Wuhan,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430014,China;Nursing Department,The Central Hospital of Wuhan,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430014,China)

机构地区：[1]华中科技大学同济医学院附属武汉中心医院血液净化中心,武汉430014 [2]华中科技大学同济医学院附属武汉中心医院护理部,武汉430014

出　　处：《中国临床护理》2024年第8期474-477,共4页Chinese Clinical Nursing

基　　金：华中科技大学同济医学院附属武汉中心医院护理类科研资助项目(编号:H202013)。

摘　　要：目的探讨电子穿刺图谱在动静脉内瘘血液透析患者中的应用效果。方法选取于笔者所在医院血液净化中心通过动静脉内瘘行血液透析的177例患者为研究对象,将2021年1月-6月收治的85例血液透析患者作为对照组,将2021年7月-12月收治的92例血液透析患者作为观察组。对照组采用纸质穿刺图谱进行血液透析管理,观察组采用电子穿刺图谱进行血液透析管理。比较2组动静脉内瘘穿刺失败率、动静脉内瘘相关并发症的发生情况以及护士对穿刺图谱使用的满意度。结果观察组动静脉内瘘穿刺失败率和动静脉内瘘并发症发生率均低于对照组(χ2=18.067,P<0.001;χ2=33.282,P<0.001)。护士对电子穿刺图谱使用的满意度高于纸质穿刺图谱(Z=27.500,P<0.001)。结论对血液透析患者使用电子穿刺图谱进行管理,可以降低动静脉内瘘穿刺失败率和动静脉内瘘并发症发生率,护士对电子穿刺图谱的满意度较高,临床可以推广使用。Objective To explore the application effect of electronic puncture atlas in patients with arteriovenous fistula hemodialysis.Methods Among 177 patients who underwent hemodialysis through arteriovenous fistula in the hemodialysis center of the author′s hospital,85 patients treated in the first half of 2021 were selected as the control group,while 92 in the second half of 2021 were selected as the observation group.The control group underwent hemodialysis management using the paper puncture atlas,while the observation group received hemodialysis management uisng the electronic puncture atlas.The failure rate of arteriovenous fistula puncture,the occurrence of complications related to arteriovenous fistula and the satisfaction of nurses with the use of puncture atlas were compared between the two groups.Results The puncture failure rate and complication rate of arteriovenous fistula in the observation group were significantly lower than that of the control group(χ2=18.067,P<0.001;χ2=33.282,P<0.001).Moreover,the satisfaction of nurses to electronic puncture atlas was higher than paper puncture atlas(Z=27.500,P<0.001).Conclusion The use of electronic puncture atlas for the management of hemodialysis patients can reduce the puncture failure rate and the incidence of complications of arteriovenous fistula.Moreover,nurses have a high satisfaction with the electronic puncture atlas system,and it can be widely used in clinical practice.

关 键 词：动静脉内瘘 电子穿刺图谱 血液透析管理 并发症 

分 类 号：R473.5[医药卫生—护理学]