优质护理模式在动静脉内瘘术后血液透析患者中的应用效果观察 .pdf

优团户理氟凝静脉内痿术后析患者中的邮龄赡

【摘要】目的：观察优质护理模式应用于动静脉内痿(arteriovenousfistula,AVF)术后血液透析(hemodialysis,

HD)患者护理的实际效果。方法：于我院肾内科选出62例行AVF的HD患者(手术时间2021年1月—2023年

月)，抽签分为优质组(优质护理模式)和参照组(常规护理模式)，各31例，对比两组患者血透依从率、术后并发

症率、内痿失功率、护理质量满意度评分与自护知识掌握度评分。结果：护理后，优质组患者术后并发症发生率和内痿

失功率均比参照组低，血透依从率、护理质量满意度评分和自护知识掌握度评分均高于参照组，组间数据差异有统计学

对比意义(Pv0.05)。结论：动静脉内痿术后HD患者采用优质护理模式可以显著改善其依从性，减少并发症，临床应

用价值较高。

【关键词】动静脉内痿；血液透析；优质护理模式；术后并发症

Observationontheapplicationeffectofhigh-qualitynursingmodelinhemodialysispatientsafterarteriovenous

fistulasurgery

DENGMengbo

DepartmentofNephrology,theSecondPeoplesHospitalofHefei(HefeiHospitalAffiliatedtoAnhuiMedical

University),Hefei,Anhui230011,China

[Abstract]Objective：Toobservetheactualeffectofhighqualitynursingmodeinthenursingofpatientswith

hemodialysis(HD)afterarteriovenousfistula(AVF)surgery.Methods：62HDpatientswithAVF(operationtime

wasfromJanuary2021toSeptember2023)wereselectedfromthedepartmentofnephrologyofourhospital,and

theyweredividedintothehighqualitygroup(high-qualitynursingmode)andthereferencegroup(conventional

nursingmode)bydrawlots,with31casesineachgroup.Thehemodialysiscompliancerate,postoperative

complicationrate,internalfistulapowerloss,nursingqualitysatisfactionscoresandself-careknowledgemastery

scoreswerecomparedbetweenthetwogroups.Results：Afternursing,theincidenceofpostoperativecomplications

andpowerlossofinternalfistulainthehighqualitygroupwerelowerthanthoseinthereferencegroup,the

hemodialysiscompliancerate,nursingqualitysatisfactionscoreandself-careknowledgemasteryscorewerehigher

thanthoseinthereferencegroup,andthedatadifferencesbetweengroupswerestatisticallysignificant

(Pv0.05).Conclusion：AdoptinghighqualitynursingmodelforpatientswithHDafterAVFsurgerycansignificantly