零压力改良穿刺法对血液透析患者新内瘘穿刺疼痛体验对比研究

A comparative study on zero-pressure modified puncture method for pain experience of new internal fistula puncture in the patients receiving hemodialysis

目的观察零压力改良穿刺法对血液透析患者新内瘘穿刺疼痛体验的变化。方法选取2016年8月～2018年1月内在我院行血液透析患者并使用前臂动静脉新内瘘的患者50例,按照随机数字表法分为对照组(传统的常规穿刺法)和观察组(零压力改良穿刺法),每组各25例,对两组不同穿刺方法对患者疼痛进行评估,观察两种不同穿刺法对患者穿刺时疼痛程度、自身焦虑程度、穿刺成功率、治疗依从性及患者满意度的影响研究。结果零压力改良穿刺法患者的疼痛程度明显低于常规穿刺法,差异有统计学意义(P<0.01);零压力改良穿刺法对患者每次透析自身焦虑程度低于常规法,差异有统计学意义(P<0.05);患者对零压力改良穿刺法的满意率优于常规法,差异有统计学意义(P<0.05),患者对零压力改良穿刺法的穿刺成功率优于常规法,差异有统计学意义(P<0.01),患者对零压力改良穿刺法的治疗依从性优于常规法,差异有统计学意义(P<0.01)。结论零压力改良穿刺法能减少血液透析患者穿刺疼痛程度、自身焦虑程度,提高患者对内瘘穿刺的满意率,增加治疗依从性,从而也提高了动静脉内瘘穿刺成功率。

Objective To observe the changes of the pain experience of new internal fistula puncture of zero pressure modified puncture method in the patients receiving hemodialysis. Methods A total of 50 patients who were given hemodialysis in our hospital from August 2016 to January 2018 and were given new forearm arteriovenous internal fistula were selected. According to the random number table method, the patients were divided into the control group (traditional conventional puncture method) and the observation group(zero pressure modified puncture method), with 25 cases in each group. The pain in the patients receiving two different puncture methods were evaluated. A effective study of the two different puncture methods on pain level, self-anxiety degree, puncture success rate, treatment compliance and patient satisfaction was observed. Results The degree of pain in the patients receiving zero-pressure modified puncture method was significantly lower than that of conventional puncture method, and the difference was statistically significant(P <0.01);the self -anxiety degree of the zero -pressure modified puncture method for the patients receiving hemodialysis each time was lower than that in the conventional method, and the difference was statistically significant (P<0.05). The satisfaction rate of patients receiving zero-pressure modified puncture method was better than that of conventional methods, and the difference was statistically significant (P<0.05). The puncture success rate of the patients receiving zero-pressure modified puncture method was better than that of the conventional method, and the difference was statistically significant(P<0.01). The patient's compliance with the zero-pressure modified puncture method was superior to the conventional method, and the difference was statistically significant (P<0.01). Conclusion The zero-pressure modified puncture method can reduce the degree of puncture pain in hemodialysis patients, the degree of selfanxiety, and improve the satisfaction rate of patients with internal fistula puncture. It increases treatment compliance, which also improves the success rate of arteriovenous internal fistula puncture.