内瘘护理专项健康教育应用在维持性血液透析患者护理中的效果及对自我管理能力的影响

Effect of special health education on internal fistula nursing in maintenance hemodialysis patients and its impact on self-management ability

目的探究内瘘护理专项健康教育应用在维持性血液透析患者治疗中效果明显。方法84例维持性血液透析患者均取自2021年4月至2022年4月本院收治患者中,随机均分2组,42例/组。对照组采用传统护理干预,观察组采用内瘘护理专项健康教育。比较两组患者健康素养、自我管理评分及并发症发生率。结果两组干预前患者健康素养水平比较无差异(P>0.05),观察组干预后患者健康素养水平较对照组高,组间差异显著(P<0.05)。两组干预前患者自我管理评分比较无差异(P>0.05),观察组干预后患者自我管理评分较对照组高,组间差异显著(P<0.05),观察组患者内瘘狭窄、内瘘感染、内瘘动脉瘤发生率4.76%低于对照组19.05%低,组间差异显著(P<0.05)。结论维持性血液透析患者采用内瘘护理专项健康教育有显著效果,其健康素养、自我管理能力得到改善,避免并发症发生,临床上可借鉴及推广。

Objective To explore the effect of special health education on internal fistula nursing for maintenance hemodialysis patients and its impact on self-management ability.Methods 84 maintenance hemodialysis patients admitted to our hospital from April 2021 to April 2022 was included in the study.They were divided into two groups using a random number table method,with 42 cases in each group.The control group received traditional nursing intervention,while the observation group received special health education on internal fistula nursing.The health literacy,self-management scores,and incidence of complications between two groups of patients were compared.Results There was no significant difference in the level of health literacy between the two groups of patients before intervention(P>0.05),while the observation group had a higher level of health literacy than the control group after intervention(P<0.05).After intervention,the self-management scores of patients in the observation group were higher than the control group(P<0.05).The incidence of internal fistula stenosis,internal fistula infection,and internal fistula aneurysm in the observation group was 4.76%,which was lower than that in the control group,which was 19.05%,and the difference was significant(P<0.05).Conclusion The application of special health education on internal fistula nursing has a significant effect on the nursing of maintenance hemodialysis patients.The self-management ability and health literacy of patients are significantly enhanced,which can reduce the incidence of complications.