风险分级护理对维持性血液透析患者内瘘功能的影响

Effect of risk grading nursing on internal fistula function in patients undergoing maintenance hemodialysis

目的探讨风险分级护理对维持性血液透析患者内瘘功能的影响。方法选取2019年1月至2020年1月于我院行维持性血液透析的196例患者为研究对象,采用随机数字表法将其分为对照组和观察组,每组98例。对照组应用常规护理,观察组应用风险分级护理。比较两组的干预效果。结果观察组的内瘘功能优良率高于对照组,内瘘并发症总发生率低于对照组(P<0.05)。干预6个月后,观察组的头静脉内径、血流量高于对照组,超氧化物歧化酶(SOD)、Ras相关C3肉毒素底物-2(Rac-2)、血红素氧化酶-1(HO-1)低于对照组,差异具有统计学意义(P<0.05)。结论风险分级护理应用于维持性血液透析患者中,有利于改善内瘘静脉端血流动力学,提高内瘘功能,控制并发症的发生,并降低氧化应激反应。

Objective To explore the effect of risk grading nursing on internal fistula function in patients undergoing maintenance hemodialysis.Methods A total of 196 patients who received maintenance hemodialysis in our hospital from January 2019 to January 2020 were selected as the research objects and divided into control group and observation group by random number table method,with 98 cases in each group.The control group received routine nursing,and the observation group received risk grading nursing.The intervention effects of the two groups were compared.Results The excellent and good rate of internal fistula function in the observation group was higher than that in the control group,and the total incidence of internal fistula complications was lower than that in the control group(P<0.05).After 6 months of intervention,the internal diameter and blood flow of cephalic vein in the observation group were higher than those in the control group,while superoxide dismutase(SOD),ras-related C3 botulinum toxin substrate-2(Rac-2)and heme oxygenase-1(HO-1)were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion The risk grading nursing applied in maintenance hemodialysis patients is beneficial to ameliorate the hemodynamics of the internal fistula vein,improve the internal fistula function,control the occurrence of complications,and reduce the oxidative stress response.