Fistula in hemodialysis patients with diabetic nephropathy nursing intervention.docVIP

 PAGE \* MERGEFORMAT 10 Fistula in hemodialysis patients with diabetic nephropathy nursing intervention Paper Keywords diabetic nephropathy hemodialysis arteriovenous fistula care intervention Abstract Objective: To investigate patients with diabetic nephropathy hemodialysis arteriovenous fistula care intervention. Methods: 73 cases with arteriovenous fistula hemodialysis patients with diabetic kidney disease care and health education intervention results: 64 cases of arteriovenous fistula with good use of time 19 to 71 months, an average of 58 months. Conclusion: patients with the correct guidance to protect the arteriovenous fistula, functional training as soon as possible, so that early maturation of arteriovenous fistula, a good grasp of the opening of arteriovenous fistula opportunity to eliminate all lead to thrombosis and other adverse factors, reduce complications, fistula can extend the use of time and improve patient quality of life. Diabetic nephropathy (DN), also known as “diabetic glomerular sclerosis,” systemic microvascular complications of diabetes, is one major cause of death of diabetes. Diabetic nephropathy with chronic renal insufficiency in our hemodialysis about No. 3. diabetic hemodialysis patients with vascular access, arteriovenous fistula currently the most commonly used, while the DN patients showed vascular atherosclerosis, poor flexibility, wall thickness and not straight, to the establishment and use of vascular access difficult, therefore, DN dialysis patients with arteriovenous fistula with good function, dialysis is carried out smoothly and adequate dialysis, dialysis to ensure efficacy, quality of life and the key to long-term survival because of advances in dialysis therapy, dialysis patients can survive for more than 20 years. Therefore, the correct guidance of patients in fistula maintenance, can make effective use of long-term fistula. Clinical data June 2004 - June 2008 I center hemodialysis in DN 73 patient