一种新型血液透析导管固定带的临床效果评估  

Clinical effect of a novel hemodialysis catheter fixing belt

作　　者：赵茜芸[1] 王德光[1] 包满珍[2] 张淼[2] 任娟[3] 于晓玲[2] 李启玉 杨锡瑶[2] ZHAO Qianyun;WANG Deguang;BAO Manzhen;ZHANG Miao;REN Juan;YU Xiaoling;LI Qiyu;YANG Xiyao(Department of Hemodialysis,the Second Affiliated Hospital of Anhui Medical University,Hefei,Anhui,230000;Department of Nursing,the Second Affiliated Hospital of Anhui Medical University,Hefei,Anhui,230000;the First Ward of Cardiovascular Medicine,the Second Affiliated Hospital of Anhui Medical University,Hefei,Anhui,230000)

机构地区：[1]安徽医科大学第二附属医院血液净化中心,安徽合肥230000 [2]安徽医科大学第二附属医院护理部,安徽合肥230000 [3]安徽医科大学第二附属医院心血管一病区,安徽合肥230000

出　　处：《实用临床医药杂志》2024年第18期12-16,共5页Journal of Clinical Medicine in Practice

基　　金：安徽省教育厅自然科学类重点项目(2023A1053159);安徽医科大学校级科研临床基金项目(2022xkj199)。

摘　　要：目的 评估新型血液透析导管固定带在临床血液透析中的应用效果。方法 选取2023年5—7月安徽医科大学第二附属医院收治的199例血液透析患者为研究对象。采用自身对照法,2023年5月20日—6月20日给予患者常规胶带(A固定法)固定透析管路,2023年6月21日—7月21日给予患者新型血液透析导管固定带(B固定法)固定透析管路。比较2种固定法的穿刺针/中心静脉导管移位或滑脱情况、固定稳定性以及护士、患者满意度。结果 B固定法的穿刺针/中心静脉导管移位率低于A固定法,差异有统计学意义(P<0.001);2种固定法的穿刺针/中心静脉导管滑脱率比较,差异无统计学意义(P>0.05)。B固定法的固定稳定性高于A固定法,差异有统计学意义(P<0.001)。患者对B固定法的满意度(有利于活动、舒适度)高于A固定法,差异有统计学意义(P<0.001);护士对B固定法的满意度(有利于清洁、便捷操作)高于A固定法,差异具有统计学意义(P<0.001)。结论 相较于传统胶带固定法,新型血液透析导管固定带能有效固定导管,且安全性较好,可有效提高护士、患者的满意度。Objective To evaluate the application effect of a novel hemodialysis catheter fixing strap in clinical hemodialysis.Methods A total of 199 hemodialysis patients from the Second Affiliated Hospital of Anhui Medical University between May and July 2023 were enrolled in this study.Employing the self-controlled study design,patients were initially fixed with conventional adhesive tape(fixation method A) for their dialysis tubing from May 20 to June 20,2023.Subsequently,from June 21 to July 21,2023,patients were transitioned to a novel hemodialysis catheter fixing belt(fixation method B) for the fixation of their dialysis tube.The incidence of puncture needle,central venous catheter displacement,the stability of fixation,and the satisfaction levels of nurses and patients were compared between the two fixation methods.Results The rate of puncture needle/central venous catheter displacement with method B was significantly lower than that with method A(P<0.001).No statistically significant difference was observed in the puncture needle/central venous catheter displacement between the two methods(P>0.05).The stability of fixation with method B was significantly higher than that with method A(P<0.001).Patients′ satisfaction with fixation method B(in favor of mobility and comfort) was significantly higher than that with fixation method A(P<0.001);similarly,nurses′satisfaction with fixation method B(in favor of cleaning and convenient operation) was markedly superior to that with fixation method A(P<0.001).Conclusion Compared with the traditional adhesive tape fixation method,the novel hemodialysis catheter securing strap effectively secures the catheter with improved safety and significantly enhances the satisfaction of both nurses and patients.

关 键 词：血液透析 导管固定带 透析管路 安全性 满意度 

分 类 号：R459.5[医药卫生—治疗学] R472[医药卫生—临床医学] R319