摘要
目的研究维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(P<0.05);相关并发症率的发生率,观察组低于对照组(P<0.05);临床护理满意度,观察组高于对照组(P<0.05);血液透析治疗总时间,观察组短于对照组(P<0.05);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(P<0.05)。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。
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<0.05).The related-complications rate in the observation group was lower compared with that in the control group with a significant difference(P<0.05).The satisfaction on clinical nursing in maintenance hemodialysis in the observation group was higher than that of the control group with a statistical difference(P<0.05).The total duration of treatment in the observation group was shorter compared with that in the control group with a significant difference(P<0.05).On the improvement of quality of life score before and after the intervention,there was a significant difference between the two groups,with a better result in the observation group(P<0.05).Conclusion Patients with maintenance hemodialysis receiving high quality nursing intervention during treatment can maintain the state of arteriovenous fistulas and keep them in good condition all the time,reduce the related complications,shorten the treatment time,ameliorate patient′s quality of life,and fundamentally improve nursing satisfaction.
作者
章会花
ZHANG Hui-hua(Department of Nephrology,the First People′s Hospital of Fuzhou City,Jiangxi Province,Fuzhou 344000,China)
出处
《中国当代医药》
2018年第10期179-181,共3页
China Modern Medicine
基金
江西省抚州市社会发展指导性科技计划项目(抚科计字[2017]12号序列号29)
关键词
维持性血液透析
优质护理干预
内瘘
维护
Maintenance hemodialysis
High quality nursing intervention
Fistula
Maintenance
