探究应用钝针扣眼法在动静脉内瘘穿刺中护理效果.docVIP

探究应用钝针扣眼法在动静脉内瘘穿刺中护理效果 　　【摘要】 目的 探讨应用钝针扣眼法在动静脉内瘘穿刺中的护理方式及效果。方法 20例动静脉内瘘行血液透析治疗患者， 随机双盲法分为对照组和观察组， 每组10例。对照组采取传统钝针穿刺法进行穿刺， 观察组减少进针角度、增加利针穿刺次数进行穿刺， 并且两组患者在治疗中均采取相应的护理。比较两组的临床效果。结果 观察组患者的汉密尔顿焦虑量表（MAHA）评分、视觉模拟疼痛评估法（VAS）评分和生活质量综合评定量表（GQOLI）评分分别为（2.04±0.35）、（1.86±0.27）、（94.34±9.71）分， 均优于对照组患者的（4.76±1.37）、（3.97±1.49）、（80.15±9.95）分， 差异有统计学意义（P0.05）。结论 在动静脉内瘘穿刺中， 在采取传统穿刺方法的基础上， 减少进针角度穿刺、增加利针穿刺能够取得显著效果， 可提高患者的穿刺成功率和穿刺隧道形成， 能够降低透析患者因长期穿刺导致的焦虑情绪， 疼痛感明显减轻， 透析更充分从而提高透析患者的生活质量。 　　【关键词】 钝针扣眼法；动静脉内瘘穿刺；针对性护理；血液透析治疗 　　DOI：10.14163/j.cnki.11-5547/r.2017.04.075 　　【Abstract】 Objective To nursing method and effect of blunt needle buttonhole method in puncture of internal arteriovenous fistula. Methods A total of 20 puncture of internal arteriovenous fistula patients with hemodialysis treatment were divided by random double blind method into control group and observation group， with 10 cases in each group. The control group received traditional blunt needle puncture method， and the observation group received reduced needle puncture angle and increased number of needle puncture. Corresponding nursing was adopted during treatment in two groups. Clinical effect was compared in two groups. Results The observation group had Hamilton anxiety scale （HAMA） score， visual analogue scales （VAS） score and general quality of life inventory （GQOLI） score respectively as （2.04±0.35）， （1.86±0.27） and （94.34±9.71） points， which were all better than （4.76±1.37）， （3.97±1.49） and （80.15±9.95） points in the control group， and their difference had statistical significance （P0.05）. Conclusion In puncture of internal arteriovenous fistula， reducing needle puncture angle and increasing number of needle puncture on the basis of traditional puncture method obtain significant effect， which can improve the success rate of puncture and formation of piercing tunnel， decrease anxiety in dialysis patients due to long-term puncture and significantly reduce the pain to make sufficient dialysis and improve the quality o