早期护理干预在维持性血液透析患者动静脉内瘘并发症预防中的应用效果

Effect of Early Nursing Intervention on Prevention of Complications of Arteriovenous Fistula in Maintenance Hemodialysis Patients

目的分析早期护理干预在维持性血液透析患者动静脉内瘘并发症预防中的效果。方法选取2019年8月-2020年12月我院进行维持性血液透析治疗的50例患者作为研究对象,采用随机数字表法分为对照组和观察组,各25例。对照组采用常规护理,观察组采用早期护理干预,比较两组内瘘血流量、动静脉内瘘并发症发生率、护理满意度、生存质量评分以及依从率。结果观察组内瘘血流量为(267.45±14.80)ml/min,大于对照组的(206.11±14.89)ml/min,差异有统计学意义(P<0.05);观察组动静脉内瘘并发症总发生率为8.00%,低于对照组的20.00%,差异有统计学意义(P<0.05);观察组护理满意度为96.00%,高于对照组的84.00%,差异有统计学意义(P<0.05);两组护理后生理功能、生理职能、躯体疼痛、社会功能、情感职能、活力、精神健康、总体健康评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组依从率为92.00%,高于对照组的80.00%,差异有统计学意义(P<0.05)。结论早期护理干预可提高维持性血液透析患者内瘘血流量,降低动静脉内瘘并发症,提高生存质量,且患者护理满意度以及治疗依从性较高。

Objective To analyze the effect of early nursing intervention on the prevention of arteriovenous fistula complications in maintenance hemodialysis patients.Methods A total of 50 patients with maintenance hemodialysis in our hospital from August 2019 to December 2020 were selected and randomly divided into control group and observation group,with 25 cases in each group.The control group was given routine nursing,and the observation group was given early nursing intervention.The blood flow of internal fistula,the incidence of arteriovenous fistula complications,nursing satisfaction,quality of life score and compliance rate were compared between the two groups.Results The internal fistula blood flow in the observation group was(267.45±14.80) ml/min,which was higher than(206.11±14.89) ml/min in the control group,and the difference was statistically significant(P<0.05).The total incidence of arteriovenous fistula complications in the observation group was 8.00%,which was lower than 20.00% in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was 96.00%,which was higher than 84.00% of the control group,and the difference was statistically significant(P<0.05).The scores of physiological function,physiological function,body pain,social function,emotional function,vitality,mental health and overall health in the two groups after nursing were higher than those before nursing,and those in the observation group were higher than the control group,the differences were statistically significant( P<0.05).The compliance rate of the observation group was 92.00%,which was higher than 80.00% of the control group,and the difference was statistically significant(P<0.05).Conclusion Early nursing intervention can improve the blood flow of fistula in patients with maintenance hemodialysis,reduce the complications of arteriovenous fistula,improve the quality of life,and the patient’s nursing satisfaction and treatment compliance are higher.