血液透析内瘘并发症的预防性护理方式研究.docxVIP

血液透析内痿并发症的预防性护理方式研究 摘要目的：研究血液透析内痿并发症的预防性护 理方式和效果。方法：选择2014年9月一2016年8 月进行血液透析患者60例，分为预防组和常规组各 30例。常规组采取常规护理，预防组根据血液透析内 痿并发症发生原因予以预防性护理，观察两组内痿并 发症发生情况和护理满意情况。结果：预防组内痿并 发症发生率和患者护理满意率分别为10. 0% (3/30) 和93. 7% (28/30)；常规组分别为30. 0% (9/30)和 66. 7% (20/30),组间差异均有统计学意义(P〈0. 05)。 结论：预防性护理可有效预防和减少血液透析内痿并 发症的发生，提高患者护理满意度，值得应用和推广。 关键词预防性护理；血液透析；内痿；并发症 中图分类号：R459. 5文献标志码：A文章编号： 1006-1533 (2018) 02-0028-02 Study on the preventive nursing methods of complication of hemodialysis fistula LUO Genying, XIONG Junying, HUANG Hongyi (Blood Purification Department of Fen^chen￡ People s Hospital of Fengcheng, Fengcheng 331100, Jiangxi Province, China) ABSTRACT Objective： To study the preventive nursing methods and effects of hemodialysis fistula complica tions. Met hods： From Sep tember 2014 to August 2016 60 cases of hemodialysis patients were selected and divided into a prevention group and a routine group with 30 cases each? Routine nursing care was taken in the routine group, preventive nursing care was given to the prevention group according to the complications of hemodialysis internal fistula, and the complica tions of int ernal f is tula and the nursing satisfaction of the two groups were observed? ResuIts： The incidence of complications and the nursing satisfaction rate of patients in the prevention group were 10. 0% (3/30) and 93. 7% (28/30) , respectively. The incidence of complications and the satisfaction rate of patients in the routine group was 30.0% (9/30) and 66. 7% (20/30) , and the differences between the two groups were statistically significant （P〈0.05）? Conclusion： Preventive nursing care can effectively prevent and reduce the incidenee of complications of hemodialysis internal fistula， improve the patient satisfaction with nursing, and is worthy of application and promotion. KEY WORDS preventive nursing； hemodialysis； internal fistula； complication 在腎功能衰竭疾病的临床治疗中，血液透析成功与 否，血管通路良好是重要条件之一，如果患者因为自 身原因无法构建血管内痿，则通常需把人造血脉当做 动静脉内痿，然而这种方式却很容易引起各种并发症, 影响血液透析的治疗效果和患者配合度。鉴于此，加 强