血管通路护理在血液透析患者中的应用效果(1)
[摘要]目的 探讨血管通路护理在血液透析(HD)患者中的应用效果。方法 选取我院2016年6月～2018年6月收治的60例HD患者，按照随机数字表法分为观察组和对照组，每组各30例。对照组采用常规护理措施护理，包括告知患者及家属HD治疗的相关注意事项，联合家属纠正患者不良的日常生活方式，合理安排作息和饮食等。观察组采用血管通路护理程序护理，包括血管通路保护、穿刺护理、血管通路内瘘的护理。比较两组并发症总发生率及护理满意度。结果 观察组并发症总发生率为6.66%，低于对照组的23.33%，差异有统计学意义(P<0.05);观察组护理总满意度为93.33%，高于对照组的70.00%，差异有统计学意义(P<0.05)。结论 对HD患者采用血管通路护理可有效的降低患者并发症发生率，且有利于提高患者的护理满意度，值得临床进一步推广应用。
[关键词]血管通路;血液透析;护理;并发症;满意度
[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721(2019)3(c)-0232-03
[Abstract] Objective To explore the effect of vascular access nursing in hemodialysis (HD) patients. Methods Altogetner 60 cases of HD patients admitted to our hospital from June 2016 to June 2018 were selected for the study. According to the random number table method， they were divided into observation group and control group. The patients in the control group received routine nursing measures， including informing the patients and their family members of the relevant matters needing attention in HD treatment， correcting the patients′ bad daily life style， arranging the patients′ work， rest and diet reasonably etc. The patients in the observation group received nursing procedure of vascular access， including protection of vascular access， puncture nursing and nursing of internal fistula of vascular access. The total incidence of complications and nursing satisfaction were compared between the two groups. Results The total incidence of complications in the observation group was 6.66%， which was lower than that in the control group (23.33%) (P<0.05); the satisfaction rate in the observation group was 93.33%， which was higher than that in the control group (70.00%) (P<0.05). Conclusion For HD patients， the use of vascular access nursing can effectively reduce the incidence of complications， and is conducive to improving patient satisfaction with nursing， which is worthy of further clinical application.
[Key words] Vascular access; Hemodialysis; Nursing; Complications; Satisfaction
腎病患者身体平衡破坏，脏腑气血功能失调，对患者生命危害极大，若不及时干预治疗易造成脏器衰竭，直接威胁到患者生命安全。维持性血液透析疗法是临床上对各种原因所导致的慢性肾功能不全以及尿毒症患者开展治疗的主要措施，另外，在血液透析(HD)治疗过程中，血管通路护理质量还在一定程度决定了HD治疗效果[1]。对于危重的慢性肾衰竭患者必须接受长期的HD，而使患者的生命系统得到有效维持，而血管通路的长期利用，易引起血管通路的堵塞、感染等后果[2]。如无法使患者所应用的血管通路得到有效的维护和保养，则可能导致HD治疗的中断，使患者的疾病治疗效果受到影响，甚至可能导致多种并发症的发生，影响患者的机体健康。因此在HD过程中，对血管通路的保护不但能获得理想的治疗疗效，同时还有助于积极预防并发症的发生[3]。本研究选取我院收治的60例HD患者采用血管通路护理措施预防并发症，并评价对该护理方法满意度，现报道如下。
1资料与方法
1.1一般资料, http://www.100md.com(李霓虹)
[关键词]血管通路;血液透析;护理;并发症;满意度
[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721(2019)3(c)-0232-03
[Abstract] Objective To explore the effect of vascular access nursing in hemodialysis (HD) patients. Methods Altogetner 60 cases of HD patients admitted to our hospital from June 2016 to June 2018 were selected for the study. According to the random number table method， they were divided into observation group and control group. The patients in the control group received routine nursing measures， including informing the patients and their family members of the relevant matters needing attention in HD treatment， correcting the patients′ bad daily life style， arranging the patients′ work， rest and diet reasonably etc. The patients in the observation group received nursing procedure of vascular access， including protection of vascular access， puncture nursing and nursing of internal fistula of vascular access. The total incidence of complications and nursing satisfaction were compared between the two groups. Results The total incidence of complications in the observation group was 6.66%， which was lower than that in the control group (23.33%) (P<0.05); the satisfaction rate in the observation group was 93.33%， which was higher than that in the control group (70.00%) (P<0.05). Conclusion For HD patients， the use of vascular access nursing can effectively reduce the incidence of complications， and is conducive to improving patient satisfaction with nursing， which is worthy of further clinical application.
[Key words] Vascular access; Hemodialysis; Nursing; Complications; Satisfaction
腎病患者身体平衡破坏，脏腑气血功能失调，对患者生命危害极大，若不及时干预治疗易造成脏器衰竭，直接威胁到患者生命安全。维持性血液透析疗法是临床上对各种原因所导致的慢性肾功能不全以及尿毒症患者开展治疗的主要措施，另外，在血液透析(HD)治疗过程中，血管通路护理质量还在一定程度决定了HD治疗效果[1]。对于危重的慢性肾衰竭患者必须接受长期的HD，而使患者的生命系统得到有效维持，而血管通路的长期利用，易引起血管通路的堵塞、感染等后果[2]。如无法使患者所应用的血管通路得到有效的维护和保养，则可能导致HD治疗的中断，使患者的疾病治疗效果受到影响，甚至可能导致多种并发症的发生，影响患者的机体健康。因此在HD过程中，对血管通路的保护不但能获得理想的治疗疗效，同时还有助于积极预防并发症的发生[3]。本研究选取我院收治的60例HD患者采用血管通路护理措施预防并发症，并评价对该护理方法满意度，现报道如下。
1资料与方法
1.1一般资料, http://www.100md.com(李霓虹)