循证护理在预防血液透析患者深静脉置管并发症中的效果

Effect of Evidence-Based Nursing on Preventing Complications of Deep Vein Indwelling Catheter in Hemodialysis Patients

目的:探究循证护理模式在预防血液透析患者深静脉留置导管并发症中的有效性。方法:选取2019年11月-2020年11月在南华大学附属长沙中心医院行血液透析的120例患者为研究对象,所有患者都施行深静脉留置导管,利用随机数字表法将患者分为对照组和试验组,每组60例,给予对照组常规护理,给予试验组循证护理,比较两组的护理效果。结果:试验组并发症发生率低于对照组,差异有统计学意义(P<0.05)。护理干预后,试验组血肌肝、尿素氮水平优于对照组,差异有统计学意义(P<0.05)。试验组护理满意率高于对照组,差异有统计学意义(P<0.05)。干预后,两组患者的心理健康评分、躯体健康评分和情感功能评分均有所提升,且试验组优于对照组,差异有统计学意义(P<0.05)。讨论:在血液透析深静脉留置导管患者的护理中应用循证护理方式,可以降低并发症的发生率,提高患者的生活质量,改善患者的肾功能指标,应用效果显著,值得在临床上推广。

Objective:To explore the effectiveness of evidence-based nursing mode on preventing the complications of deep vein indwelling catheter in hemodialysis patients.Methods:A total of 120 patients who underwent hemodialysis in Changsha Central Hospital Affiliated to University of South China from November 2019 to November 2020 were selected as the study subjects.All patients underwent deep vein indwelling catheter.These patients were divided into control group and experimental group by random number table method,with 60 cases in each group.The control group was given routine nursing and the experimental group was given evidence-based nursing.The nursing effects of the two groups were compared.Results:The incidence of complications in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).After nursing intervention,the levels of blood creatinine and urea nitrogen in the experimental group were better than those in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction rate of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).After intervention,the mental health scores,physical health scores and emotional function scores of the two groups of patients were improved,the experimental group was better than the control group,and the difference was statistically significant(P<0.05).Conclusion:The application of evidence-based nursing in the nursing of hemodialysis patients with deep vein indwelling catheter can reduce the incidence of complications,improve the quality of life of patients,and improve the renal function indexes of patients.The application effect is remarkable,which is worthy to be popularized in clinic.