联动护理干预在慢性肾衰竭行血液透析患者动静脉瘘护理中的应用

Application of linkage nursing intervention in arteriovenous fistula nursing of patients with chronic renal failure underwent hemodialysis

目的 探讨联动护理干预在慢性肾衰竭行血液透析患者动静脉瘘护理中的应用效果。方法 选取2019年12月—2021年5月医院收治的慢性肾衰竭行血液透析动静脉瘘患者86例,按照组间基本特征具有可比性的原则分为对照组和观察组,每组43例。对照组实施常规护理干预,观察组实施联动护理干预,观察两组患者干预前后临床指标、并发症发生情况。结果 护理干预后,观察组患者白细胞计数(WBC)、血小板计数(PLT)、舒张压改善情况优于对照组;观察组患者护理满意程度高于对照组,差异均有统计学意义(P<0.05)。虽然观察组患者在血栓、出血、血管狭窄、感染以及血管瘤等并发症发生率低于对照组,但差异无统计学意义(P>0.05)。结论 对慢性肾衰竭行血液透析动静脉瘘患者实施联动护理干预,可达到改善患者白细胞计数、血小板计数、改善舒张压,提高护理满意度,降低并发症发生率的目的。

Objective To explore the application effect of linkage nursing intervention in arteriovenous fistula nursing of patients with chronic renal failure underwent hemodialysis. Methods From December 2019 to May 2021, 86 patients with chronic renal failure undergoing hemodialysis arteriovenous fistula were selected and divided into a control group and an observation group according to the principle of comparability of basic characteristics between groups, with 43 cases in each group. Routine nursing intervention was implemented in the control group, linkage nursing intervention was implemented in the observation group, the clinical indicators and complications were observed before and after intervention in two groups. Results After nursing intervention, the improvement of white blood cell count(WBC), blood platelet(PLT) and diastolic blood pressure in observation group was better than the control group. The nursing satisfaction of the observation group was higher than the control group, the differences were statistically significant(P<0.05). Although the incidence of complications such as thrombosis, hemorrhage, vascular stenosis, infection and hemangioma in observation group was lower than the control group, but there were no statistically significant(P>0.05). Conclusion Linkage nursing intervention could improve the white blood cell count, blood platelet, diastolic blood pressure, improve nursing satisfaction and reduce the incidence of complications in patients with chronic renal failure.