糖尿病肾病维持性血液透析患者动静脉内瘘临床护理干预结局

Outcome of Clinical Nursing Intervention of Arteriovenous Fistula in Maintenance Hemodialysis Patients with Diabetic Nephropathy

目的研究糖尿病肾病维持性血液透析患者动静脉内瘘临床护理干预结局。方法该研究选择该院2017年1月—2019年8月收治的80例糖尿病肾病作为研究对象,随机均分为两组后,先给予两组患者血管通路,予以维持性血液透析,对照组予以常规护理干预,研究组在此基础上采用强化动静脉内瘘护理、心理护理以及饮食护理等临床护理干预。统计分析两组患者并发症发生率、内瘘成熟时间以及护理满意度评分。结果研究组并发症发生率2.5%,对照组并发症发生率15.0%,差异有统计学意义(χ2=3.914,P=0.048)。研究组内瘘成熟时间(6.2±0.4)周,对照组内瘘成熟时间(7.8±0.8)周,差异有统计学意义(t=11.314,P=0.000)。研究组患者内瘘成熟时间相较于对照组更短,并发症发生率和对照组对比更少,护理满意度评分显著高于对照组,对比差异有统计学意义(P<0.05)。结论针对糖尿病肾病维持性血液透析患者,采用综合临床护理干预,相较于常规护理,效果更加显著。

Objective To study the outcome of clinical nursing intervention of arteriovenous fistula in patients with diabetic nephropathy maintenance hemodialysis.Methods The study selected 80 cases of diabetic nephropathy admitted to the hospital from January 2017 to August 2019 as the research object.They were randomly divided into two groups.The two groups were given vascular access and maintained hemodialysis.The control group adopted routine nursing intervention,on this basis,the research group adopted clinical nursing interventions such as intensive arteriovenous fistula nursing,psychological nursing and diet nursing.Statistical analysis of the incidence of complications,maturity of internal fistula,and nursing satisfaction scores of the two groups of patients.Results The incidence of complications in the study group was 2.5%,the incidence of complications in the control group was 15.0%,and the difference was statistically significant(χ2=3.914,t=0.048);Fistula maturation time in the study group(6.2±0.4)weeks,control group fistula maturation time(7.8±0.8)weeks,and the difference was statistically significant(t=11.314,P=0.000).Compared with the control group,the maturation time of the fistula in the study group was shorter than that of the control group,and the incidence of complications was less compared with the control group.The nursing satisfaction score was significantly higher than that of the control group.The difference was statistically significant(P<0.05).Conclusion For patients with diabetic nephropathy maintenance hemodialysis,comprehensive clinical nursing intervention is adopted.Compared with conventional nursing,the effect is more significant.