分阶段延续性护理对血液透析动静脉内瘘患者自护能力的影响

Effect of staged continuous nursing on self-care ability of arteriovenous internal fistula in hemodialysis patients

目的探究分阶段延续性护理对血液透析动静脉内瘘患者自护能力的影响。方法选取2018年1月至2019年12月本院收治的210例血液透析动静脉内瘘患者作为研究对象,遵循随机数字法将其分为参照组(n=105)和研究组(n=105)。参照组开展常规护理,研究组开展分阶段延续性护理。比较两组患者的自护能力、自我管理行为、生活质量、并发症发生情况及护理满意度。结果护理后,研究组患者的自护能力、自我管理行为、生活质量评分均显著高于参照组,差异具有统计学意义(P<0.05)。研究组患者的血栓、内瘘阻塞、出血、感染发生率均显著低于参照组,差异具有统计学意义(P<0.05)。研究组患者的技术水平、服务态度、语言和行为、健康宣教评分均显著高于参照组,差异具有统计学意义(P<0.05)。结论分阶段延续性护理可有效改善血液透析动静脉内瘘患者的自护能力、自我管理行为及生活质量,减少并发症的发生。

Objective To explore the effect of staged continuous nursing on self-care ability of arteriovenous internal fistula in hemodialysis patients.Methods A total of 210 hemodialysis patients with arteriovenous internal fistula admitted in our hospital from January 2018 to December 2019 were selected as the recearch objects.The patients were divided into reference group(n=105)and research group(n=105)according to digital random method.The reference group was given routine nursing,and the research group was given staged continuous nursing.The self-care ability,self-management behavior,quality of life,occurrence of complications and nursing satisfaction were compared between the two groups.Results After nursing,the scores of self-care ability,self-management behavior and quality of life in the research group were significantly higher than those in the reference group,and the differences were statistically significant(P<0.05).The incidences of thrombosis,internal fistula obstruction,bleeding and infection in the research group were significantly lower than those in the reference group,and the differences were statistically significant(P<0.05).The scores of technical level,service attitude,language and behavior,health education in the research group were significantly higher than those in the reference group,and the differences were statistically significant(P<0.05).Conclusion Staged continuous nursing can effectively improve the self-care ability,self-management behavior and quality of life of hemodialysis patients with arteriovenous internal fistula,and reduce the occurrence of complications.