循证支持下的预防性护理对维持性血液透析患者血管通路并发症的管控效果  

The Effect of Evidence-Based Preventive Nursing on the Management of Vascular Access Complications in Maintenance Hemodialysis Patients

作　　者：陈雅霜 CHEN Yashuang(Department of Nephrology,Zhongshan Hospital Affiliated to Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属中山医院肾内科,厦门361000

出　　处：《中国医药指南》2024年第27期52-55,共4页Guide of China Medicine

摘　　要：目的分析循证支持下的预防性护理对维持性血液透析患者血管通路并发症的管控效果。方法选取2022年2月至2024年1月在我院接受维持性透析治疗的102例,按照随机数字表法分为两组,对照组实施常规护理,观察组实施循证支持下的预防性护理。对比两组并发症发生率(异常出血、血管闭塞、情绪障碍、血栓、感染)、血管通路状态(阻塞程度、血流量、完整程度、使用寿命)和护理前后两组状态-特质焦虑量表(STAI)、炎症反应水平改善情况。结果观察组并发症发生率低于对照组(P<0.05)。观察组护理后状态焦虑、特质焦虑评分均低于对照组(P<0.05)。观察组护理后阻塞程度评分、血流量、完整程度评分、使用寿命均高于对照组(P<0.05)。观察组护理后微炎症指标低于对照组(P<0.05)。结论循证支持下的预防性护理能有效减少维持性血液透析患者血管通路并发症的发生率,同时有利于降低患者焦虑。Objective To analyze the effect of evidence-based preventive nursing on the control of vascular access complications in maintenance hemodialysis patients.Methods A total of 102 patients receiving maintenance dialysis treatment in our hospital from February 2022 to January 2024 were selected and divided into two groups according to random number table method.The control group received routine nursing and the observation group received evidence-based preventive nursing.Complication rate(abnormal bleeding,vascular occlusion,mood disorder,thrombosis,infection),vascular access status(degree of obstruction,blood flow,integrity,service life)and State-Trait Anxiety Inventory(STAI)before and after care were compared between the two groups,inflammatory response level improvement.Results The complication rate of observation group was lower than that of control group(P<0.05).The scores of state and trait anxiety after nursing in observation group were lower than those in control group(P<0.05).The score of obstruction degree,blood flow,integrity degree and service life of observation group after nursing were higher than those of control group(P<0.05).The microinflammatory indexes of the observation group were lower than those of the control group(P<0.05).Conclusions Evidence-based preventive nursing can effectively reduce the incidence of vascular access complications in maintenance hemodialysis patients,reduce patients'anxiety.

关 键 词：循证支持 预防性护理 维持性血液透析 血管通路 并发症 管控效果 

分 类 号：R459.5[医药卫生—治疗学] R473[医药卫生—临床医学]