以人文关怀为依托的延续性护理在AVF患者居家修养中的应用效果

Application Effect of Continuous Nursing Based on Humanistic Care in Home Training of AVF Patients

目的探究以人文关怀为依托的延续性护理应用于动静脉内瘘术患者居家修养中的效果。方法选取2017年1月—2020年4月时间段居家修养的60例动静脉内瘘术患者作为此次研究的研究对象。以红蓝双色分组的方式将其分为参照组(共30例,给予常规护理)和护理组(共30例,给予以人文关怀为依托的延续性护理),对比两组患者护理干预前后的自我管理能力,居家休养期间的护理依从性和不良反应情况。结果护理前,两组患者疾病监测、并发症管理、用药情况和饮食管理等方面的评分差异无统计学意义(P>0.05),护理后,护理组患者各项自我管理能力评分均明显高于参照组,差异有统计学意义(P<0.05);居家休养期间,护理组患者的依从性优良率93.34%(优14例、良14例)明显高于参照组90.00%(优10例、良13例),差异有统计学意义(χ^(2)=6.667,P=0.009);护理组患者内瘘闭塞等不良反应发生率4.76%明显低于参照组23.33%,差异有统计学意义(χ^(2)=5.192,P=0.023)。结论以人文关怀为依托的延续性护理应用于动静脉内瘘患者居家修养中的优势明显,能提高患者的自我管理能力,同时能提高其护理依从性,减少不良反应的发生。

Objective To explore the effect of continuous nursing based on humanistic care in home rehabilitation of patients with arteriovenous fistula surgery.Methods Sixty patients undergoing arteriovenous fistula surgery who were trained at home from January 2017 to April 2020 were selected as the subjects of this study.They were divided into the reference group(30 cases in total,given routine care)and the nursing group(30 cases in total,given continuous care based on humanistic care)by red and blue grouping,and compared the two groups of patients before and after the nursing intervention of self-management ability,nursing compliance and adverse reactions during home recuperation.Results Before nursing,there was no significant difference in the scores of the two groups of patients in terms of disease monitoring,complication management,medication use,and diet management(P>0.05).After nursing,the self-management ability scores of the nursing group were significantly higher than the reference Group,the difference was statistically significant(P<0.05);during the home recuperation,the compliance rate of patients in the nursing group was 93.34%(excellent in 14 cases,good in 14 cases),and 90.00%(excellent in 10 cases,good in 13 cases),the difference was statistically significant(χ^(2)=6.667,P=0.009);the incidence of adverse reactions such as internal fistula occlusion in the nursing group was 4.76%significantly lower than that of the reference group 23.33%,and the difference was statistically significant(χ^(2)=5.192,P=0.023).Conclusion Continuing nursing based on humanistic care has obvious advantages in the home training of patients with arteriovenous fistula.It can improve the patient's self-management ability,and at the same time can improve their nursing compliance and reduce the occurrence of adverse reactions.