基于风险评估的分级护理结合血管通路管理小组模式对血液透析患者导管自我管理能力及导管相关并发症的影响  

Effects of graded nursing based on risk assessment combined with vascular access management group model on catheter self-management ability and catheter-related complications in hemodialysis patients

作　　者：白雪霞 闫洁 BAI Xuexia;YAN Jie(Xi'an Hospital of Traditional Chinese Medicine,Xi'an 710000,China)

机构地区：[1]西安市中医医院,陕西西安710000

出　　处：《临床医学研究与实践》2024年第31期159-162,共4页Clinical Research and Practice

摘　　要：目的探究基于风险评估的分级护理结合血管通路管理小组模式对血液透析患者导管自我管理能力及导管相关并发症的影响。方法选择2021年1月至2022年6月我院收治的125例血液透析患者为研究对象,以随机数字表法将其分为对照组(62例)、观察组(63例)。对照组给予常规护理,观察组在对照组基础上加施基于风险评估的分级护理结合血管通路管理小组模式护理。比较两组的干预效果。结果干预前,两组的日常导管观察、导管异常情况处理评分比较,差异无统计学意义(P>0.05);干预后,观察组的日常导管观察、导管异常情况处理评分均高于对照组(P<0.05)。观察组的导管相关并发症总发生率低于对照组(P<0.05)。干预前,两组的Kolcaba舒适状况量表各维度评分比较,差异无统计学意义(P>0.05);干预后,观察组的Kolcaba舒适状况量表各维度评分高于对照组(P<0.05)。结论基于风险评估的分级护理结合血管通路管理小组模式用于血液透析患者护理中,不仅可提高导管自我管理能力,降低导管相关并发症发生率,还有助于提升舒适度,值得推广。Objective To explore the effects of graded nursing based on risk assessment combined with vascular access management group model on catheter self-management ability and catheter-related complications in hemodialysis patients.Methods A total of 125 hemodialysis patients admitted in our hospital from January 2021 to June 2022 were selected as the research objects.The patients were divided into control group(62 cases)and observation group(63 cases)by random number table method.The control group was given routine nursing,and the observation group was given graded nursing based on risk assessment combined with vascular access management group model on the basis of the control group.The intervention effects of the two groups were compared.Results Before intervention,there were no significant differences in the scores of daily catheter observation and catheter abnormality treatment between the two groups(P>0.05);after intervention,the scores of daily catheter observation and catheter abnormality treatment in the observation group were higher than those in the control group(P<0.05).The total incidence of catheter-related complications in the observation group was lower than that in the control group(P<0.05).Before intervention,there were no significant differences in the scores of each dimension of Kolcaba comfort scale between the two groups(P>0.05);after intervention,the scores of each dimension of Kolcaba comfort scale in the observation group were higher than those in the control group(P<0.05).Conclusion Graded nursing based on risk assessment combined with vascular access management group model for hemodialysis patients can not only improve catheter self-management ability,reduce the incidence of catheter-related complications,but also help to improve comfort,which is worthy of promotion.

关 键 词：风险评估 分级护理 血管通路管理小组模式 血液透析 

分 类 号：R473[医药卫生—护理学]