优质护理模式指导下护理干预对维持性血液透析患者内瘘维护影响研究.docVIP

优质护理模式指导下的护理干预对维持性血液透析患者内瘘维护的影响研究 　　[摘要]目的 研究?S持性血液透析患者在治疗期间接受优质护理干预对动静脉内瘘状态进行维护的临床效果。方法 抽取2015年10月～2017年10月在我院接受维持性血液透析治疗的104例患者，以随机分组的方式将其分成对照组和观察组，每组各52例。对照组患者实施常规血液净化治疗护理；观察组实施优质护理干预。比较两组患者动静脉内瘘能够保持完好状态的比例、发生相关并发症比例、临床护理的满意度、血液透析治疗总时间、护理干预前后生活质量评分的改善幅度。结果 动静脉内瘘保持完好状态比例，观察组高于对照组（P0.05）；相关并发症率的发生率，观察组低于对照组（P0.05）；临床护理满意度，观察组高于对照组（P0.05）；血液透析治疗总时间，观察组短于对照组（P0.05）；两组在护理干预前后生活质量评分的改善幅度，观察组大于对照组，差异均有统计学意义（P0.05）。结论 维持性血液透析患者在治疗期间接受优质护理干预，可以对动静脉内瘘状态进行维护，使其在治疗的始终都保持完好状态，减少相关并发症，缩短治疗时间，改善患者的生活质量，从根本上提高护理满意度。 　　[关键词]维持性血液透析；优质护理干预；内瘘；维护 　　[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721（2018）4（a）-0179-03 　　Influence study of high-quality nursing mode-guided nursing intervention on fistula maintenance of in maintaining hemodialysis patients 　　ZHANG Hui-hua 　　Department of Nephrology，the First People′s Hospital of Fuzhou City，Jiangxi Province，Fuzhou 344000，China 　　[Abstract]Objective To study the clinical effect of high-quality nursing intervention in maintenance hemodialysis patients during treatment to maintain the state of arteriovenous fistula.Methods A total of 104 patients undergoing maintenance hemodialysis in our hospital from October 2015 to October 2017 were randomly divided into control group and observation group，52 cases in each group.In the control group，routine blood purification treatment and care during dialysis was used，while in the observation group，high quality nursing intervention during dialysis was adopted.The rate of arteriovenous fistulas remaining intact during treatment，rate of related complications，satisfaction on clinical nursing during treatment，the total time of hemodialysis，and improvement of quality of life before and after the intervention between the two groups were compared.Results In comparison of the of cases of rate arteriovenous fistula remaining in good condition during the treatment，there was a significant difference between the two groups，with a better result in the observation group（P 　　[Key words]Maintenance hemodialysis；High q