家庭护理干预在预防血液透析患者动静脉内瘘血栓形成中的应用

Application of Family Nursing Intervention in Preventing Arteriovenous Fistula Thrombosis in Hemodialysis Patients

目的探讨家庭护理干预在预防血液透析患者动静脉内瘘(AVF)血栓形成中的应用价值。方法选取我院2017年7月至2017年12月期间收治的30例使用动静脉内瘘进行血液透析治疗的患者,随机分为两组各15例。对照组给予常规护理干预,试验组在对照组基础上给予家庭护理干预。比较两组患者出院前后的慢性肾衰竭和内瘘自我护理知识掌握程度,比较两组的一年内AVF血栓形成率及护理满意度。结果出院后3、6、12个月,试验组患者的慢性肾衰竭和内瘘自我护理知识掌握程度显著高于对照组(P<0.05)。试验组的血栓形成率为0.00%,显著低于对照组的26.67%(P<0.05)。试验组的护理满意度为93.33%,显著高于对照组的60.00%(P<0.05)。结论家庭护理干预可有效降低血液透析患者的AVF血栓形成率,提高患者的护理满意度。

Objective To explore the application value of family nursing intervention in preventing arteriovenous fistula(AVF thrombosis in hemodialysis patients. Methods Thirty patients with hemodialysis through arteriovenous fistula in our hospital from July 2017 to December 2017 were selected and randomly divided into two groups, with 15 cases in each group. The control group was given routine nursing intervention, and the experimental group was given family nursing intervention on the basis of routine nursing. The mastery degree of self-care knowledge of chronic renal failure and internal fistula before and after discharge from hospital were compared between the two groups, and the AVF thrombosis rate within 1 year and the nursing satisfaction degree were compared between the two groups. Results At3, 6, 12 months after discharge from hospital, the mastery degree of self-care knowledge of chronic renal failure and internal fistula of experimental group were significantly higher than those of control group(P <0.05). The thrombosis rate of experimental group was 0.00%,significantly lower than 26.67% of control group(P <0.05). The nursing satisfaction degree of experimental group was 93.33%, significantly higher than 60.00% of control group(P <0.05). Conclusions Family nursing intervention can effectively reduce the thrombosis rate of AVF in hemodialysis patients, and improve patients’ nursing satisfaction degree.