血液透析肢体简易固定装置的临床应用效果观察

Clinical application of a simple holder for the hemodialysis arm

目的探讨“血液透析肢体简易固定装置”的临床应用。方法在血液透析治疗过程中干预组应用血液透析肢体简易固定装置,对照组采用传统的固定方法,观察2组患者动静脉内瘘不良事件发生情况;透析侧手臂的舒适度情况;调查应用血液透析肢体简易固定装置前、后医护人员的满意度。结果干预组患者动静脉内瘘不良事件的发生率和透析侧手臂的舒适度明显高于对照组患者(t=11.145;<0.001),医护人员在应用血液透析肢体简易固定装置后的满意度明显高于应用血液透析肢体简易固定装置前(Z=-5.463,P<0.001)。结论血液透析肢体简易固定装置对透析侧手臂具有很好的固定保护作用,能明显降低在血液透析过程中内瘘相关不良事件的发生率。

Objective To discuss the clinical application of a simple holder for the hemodialysis arm. Method During the hemodialysis session, the intervention group used a simple holder device for the hemodialysis arm, while the control group used the traditional fixation method for the hemodialysis arm. The adverse events of arteriovenous fistula and the comfort of dialysis arm were compared between the two groups. After the use, the satisfaction of the simple holder for the hemodialysis arm was assessed by the patients and nurses. Result The adverse events of arteriovenous fistula and the comfort degree of dialysis arm were significantly higher in intervention group than in control group (t=11.145, P<0.001). The satisfaction degree of the simple holder method was significantly higher than that of traditional fixation method (Z=-5.463, P<0.001) in both the patients and the nurses. Conclusion The simple holder has a good fixation and protection effects on the hemodialysis arm and can significantly reduce the adverse events of arteriovenous fistula during hemodialysis.