血液透析患者动静脉内瘘动脉瘤的护理干预

Nursing Intervention of Arteriovenous Fistula in Hemodialysis Patients

目的对血液透析患者动静脉内瘘动脉瘤护理干预措施的研究。方法选取安徽医科大学第一附属医院血液透析动静脉内瘘患者80例作为研究对象,采用随机分组方式将其分为对照组与观察组,每组40例。两组患者均采用改良穿刺法,对照组实施传统的护理模式,而观察组在此基础上实施优质护理干预。对比两组患者六个月内新发生动脉瘤的例数以及原有动脉瘤大小变化。结果观察组患者6个月内动脉瘤新发生率为0%,明显低于对照组(12.5),同时原有动脉瘤缩小更为明显,P<0.05。结论对于血液透析动静脉内瘘患者实施优质护理干预,能够对动脉瘤的发生与发展起到抑制作用。

Objective to study the nursing intervention of arteriovenous fistula aneurysm in hemodialysis patients. Methods eighty patients with hemodialysis and arteriovenous fistula were randomly divided into control group and observation group. Forty patients were randomly divided into control group and observation group. The two groups of patients were treated with improved puncture,the control group to implement the traditional nursing model,and the observation group on the basis of the implementation of quality care intervention. Comparison of the two groups of patients within six months of new cases of aneurysms and the original aneurysm size changes. Results the incidence of aneurysm in the observation group was 0% within 6 months,which was significantly lower than that in the control group(12.5),and the original aneurysm was narrowed more significantly(P<0.05). Conclusion for patients with hemodialysis arteriovenous fistula,high quality nursing intervention can inhibit the occurrence and development of aneurysm.