早期系统化护理在血液透析患者自体动静脉内瘘护理中的应用分析

Application of Early Systematic Nursing in the Nursing of Autologous Arteriovenous Fistula in Hemodialysis Patients

目的探究早期系统化护理干预应用在血液透析患者自体动静脉内瘘护理中的效果。方法随机选取2021年1月—2023年7月江苏省盱眙县中医院血透室收治的60例血液透析患者为研究对象,均建立自体动静脉内瘘。根据系统随机盲选模式将所有样本进行分组,对照组开展常规护理(30例),观察组开展早期系统化护理(30例)。对自体动静脉内瘘功能优良率、并发症、护理满意度情况进行对比,分析早期系统化护理的价值。结果观察组自体动静脉内瘘功能优良率远高于对照组,差异有统计学意义(P<0.05);观察组不良并发症发生率为10.00%,低于对照组的30.00%,差异有统计学意义(χ^(2)=4.812,P<0.05);观察组患者护理总满意率比对照组明显更高,差异有统计学意义(P<0.05)。结论早期系统化护理干预能够在血液透析患者自体动静脉内瘘护理中发挥重要作用。

Objective To explore the effect of early systematic nursing intervention in the nursing of autologous arteriovenous fistula in hemodialysis patients.Methods Sixty hemodialysis patients admitted to the hemodialysis room of Xuyi County Hospital of Traditional Chinese Medicine in Jiangsu Province January 2021 to July 2023 were randomly collected as the study objects.And autologous arteriovenous fistula was established in all cases.According to the systematic random blind selection mode,all samples were divided into groups,the control group received routine nursing(30 cases),and the observation group received early systematic nursing(30 cases).The function rate,complications and nursing satisfaction of autogenous arteriovenous fistula were compared between groups,and the value of early systematic nursing was analyzed.Results The excellent and good rate of autologous arteriovenous fistula in the observation group was much higher than that in the control group,the difference was statistically significant(P<0.05);the incidence of adverse complications in the observation group was 10.00%,which was significantly lower than that in the control group 30%,the difference was statistically significant(χ^(2)=4.812,P<0.05);the total satisfaction rate of nursing in observation group was significantly higher than that in control group,the difference was statistically significant(P<0.05).Conclusion Early systematic nursing intervention can play an important role in the nursing of autologous arteriovenous fistula in hemodialysis patients.