基于多学科协作的内瘘专项小组护理模式在动静脉内瘘假性动脉瘤患者中的应用

Effect of special group nursing model of internal fistula based on multidisciplinary collaboration in patients with arteriovenous fistula pseudoaneurysm

目的探讨基于多学科协作的内瘘专项小组护理模式在动静脉内瘘(AVF)假性动脉瘤患者中的应用效果。方法采用便利抽样法,选取2019年2月—2020年8月在郑州市第七人民医院血液净化中心接受治疗的92例AVF假性动脉瘤患者为研究对象,按照随机数字表法分为对照组和观察组,每组各46例。对照组患者接受常规护理模式,观察组患者在此基础上接受基于多学科协作的内瘘专项小组护理模式。比较两组患者单次透析平均穿刺次数、假性动脉瘤手术率、假性动脉瘤瘤体大小及个数、假性动脉瘤相关并发症发生率。结果观察组患者单次透析平均穿刺次数低于对照组,假性动脉瘤瘤体大小小于对照组,假性动脉瘤瘤体个数少于对照组,差异均有统计学意义(P<0.05)。观察组与对照组患者的假性动脉瘤手术率比较,差异无统计学意义(P>0.05)。观察组患者的总并发症发生率为4.35%(2/46),低于对照组的21.74%(10/46),差异有统计学意义(P<0.05)。结论基于多学科协作的内瘘专项小组护理模式能够有效减少AVF假性动脉瘤患者单次透析平均穿刺次数,降低假性动脉瘤相关并发症的发生率,并在一定程度上改善患者的假性动脉瘤状况,值得临床推广。

Objective To explore the effect of the special group nursing model of internal fistula based on multidisciplinary collaboration in patients with arteriovenous fistula(AVF)pseudoaneurysm.Methods From February 2019 to August 2020,convenience sampling was used to select 92 patients with AVF pseudoaneurysm in the Blood Purification Center of Seventh People's Hospital of Zhengzhou as the research object.According to the random number table method,the patients were divided into the control group and the observation group,each with 46 cases.The patients in the control group received the conventional nursing model,and the patients in the observation group received the special group nursing model of internal fistula based on multidisciplinary collaboration.The average number of punctures in a single dialysis,the operation rate of pseudoaneurysms,the size and number of pseudoaneurysm,and the incidence of pseudoaneurysm-related complications were compared between the two groups of patients.Results The average number of punctures in a single dialysis of the observation group was lower than that of the control group,the size of pseudoaneurysm was smaller than that of the control group,and the number of pseudoaneurysm was less than that of the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the operation rate of pseudoaneurysm between the observation group and the control group(P>0.05).The total incidence of complications in the observation group was 4.35%(2/46),which was lower than 21.74%(10/46)in the control group,and the difference was statistically significant(P<0.05).Conclusions The special group nursing model of internal fistula based on multidisciplinary collaboration can effectively reduce the average number of puncture per dialysis in patients with AVF pseudoaneurysm,lower the incidence of complications related to pseudoaneurysm,and improve the patient's pseudoaneurysm to a certain extent.It is worthy of clinical promotion.