Hemodialysis in uremic patients in health guidance.docVIP

 PAGE \* MERGEFORMAT 9 Hemodialysis in uremic patients in health guidance [Keywords:] Hemodialysis; uremia; dry weight Hemodialysis is an important method of treatment of uremia. Hemodialysis Hemodialysis is the time between the two, the health guidance, including the proper use of vascular access, control, dry weight, exercise and medication guide, prevention and complications Measures of self-treatment of complications such as .2005 1 month to January 2009 in our hospital hemodialysis unit of 240 hemodialysis patients with uremia between the implementation of effective health guidance, and achieved good results. 1 Clinical data The group of 240 cases, male 179 cases, female 61 cases; aged 16 to 86 (45.1 + -18.5 years). Hemodialysis 1 month to 18 years, frequency 1 ~ 3 times / week, between the blood vessels of 1 ~ 5 d. access: 85% established arteriovenous fistula, 15% venous catheter (such as internal jugular or femoral vein catheter, temporary permanent venous catheter carotid catheter). through effective health guidance, the group dynamic 204 cases of fistula patients, 6 patients had fistula occlusion, 1 patient without infection. deep venous catheter in 36 cases, 1 case of infection or without tube extrusion .95% of water intake through diet control to achieve the desired dry weight. 2 health guidance 2.1 Guidance to develop a reasonable plan to develop the disease in hemodialysis patients under the guidance of health plans, the responsibility of nurses to be familiar with medical history and doctor’s orders single hemodialysis, and to understand the following: vascular access type, blood pressure, drug use, frequency of dialysis and residual renal function. According to patient’s age, educational level differences take the form of health guidance, such as repeated use of bedside dialysis time missionaries (direct conversation or distribute cards, writing materials, etc.), telephone follow-up after dialysis, hanging in the family lounge