循证护理在血液透析患者高位动静脉内瘘中的应用

Evidence-based nursing for the hemodialysis patients with high arteriovenous fistula vascular access

目的探讨循证护理在高位动静脉内瘘血管通路的血液透析患者中的应用效果。方法对11例采用肱动脉-肘正中静脉或肱动脉-贵要静脉高位动静脉内瘘血管通路维持血液透析治疗患者实施循证护理(观察组),并回顾性分析实施传统血管通路护理的11例(对照组)。结果观察组透析患者血管通路的并发症如感染、皮下血肿、局部血管硬化和血栓形成显著低于对照组(P<0.05)。结论循证护理应用于高位动静脉内瘘血管通路的血液透析患者的护理实践中,解决了实际问题,使未行循证护理实施传统血管通路护理的并发症明显降低,提高了患者的透析生活质量。同时可以发挥护理人员的主观能动性,丰富护理人员的知识,进一步提高了血液透析专业技术水平。

Objective To investigate the effect of evidence-based care on the hemodialysis patients with high arteriovenous fistula vascular access.Method The evidence-based care was performed in 11 hemodialysis patients with brachial artery-cubital vein or brachial artery-high basilic vein arteriovenous fistula vascular access（observation group）.We also retrospectively analyzed 11 hemodialysis patients with the implementation of the traditional vascular access care（control group）.Results The complications of vascular access was significantly lower in observation group than in control group（P〈0.05）.Conclusion The evidence-based nursing for the hemodialysis patients with high arteriovenous fistula vascular access facilitates solving the practical problems,so that vascular access complications usually seen in patients with traditional vascular access care are reduced,and the life quality of the patients is improved.This nursing program also promotes the initiative potentials in nurses,enriches their professional knowledge,and enhances their nursing skills for hemodialysis patients.