基于协同一体化护理模式的多单穿刺术在血液透析患者内瘘中的应用

Application of multiple single cannulation technique in internal fistula of hemodialysis patients based on collaborative integrated nursing model

目的研究基于协同一体化护理模式的多单穿刺术在血液透析患者动静脉内瘘中的效果。方法以2021年1月至2022年12月在南京市高淳人民医院规律行维持性血液透析患者97例作为研究对象,通过随机数字表法将研究对象分为观察组和对照组。对观察组患者采用基于一体化护理模式运用多单穿刺结合马铃薯湿敷,对对照组患者实施常规护理。通过为期一年的护理干预,观察两组患者内瘘并发症、穿刺疼痛程度以及护士一次性穿刺成功率等。结果观察组患者疼痛程度、穿刺点压迫止血时间、KT/V、血管内膜增生、是否行内瘘狭窄扩张术比较均优于对照组(P值分别为0.0001、0.0001、0.0001、0.033、0.029)。而患者的穿刺点感染发生率和护士一次性穿刺成功率比较差异无统计学意义(P>0.05)。结论基于协同一体化护理模式的多单穿刺术较传统穿刺方式具有明显的优势,临床具有可操作性,值得推广应用。

Objective To study the effect of multiple single cannulation technique based on collaborative integrated nursing model in the treatment of arteriovenous fistula in hemodialysis patients.Methods A total of 97 patients who regularly underwent maintenance hemodialysis in Nanjing Gaochun People s Hospital from January 2021 to December 2022 were selected.They were divided into experimental group and control group by random number table method.The patients of the experimental group received multiple single cannulation technique combined with potato wet compress based on integrated nursing mode.The ones of the control group received routine nursing care.The complications of internal fistula,the degree of puncture pain and the success rate of one-time puncture were observed in the two groups through nursing intervention for one year.Results The degree of pain,the point of puncture ligature time,KT/V,intimal hyperplasia and whether internal fistula stenosis dilatation in experimental group were better than those in control group(P values were 0.0001,0.0001,0.0001,0.033,0.029,respectively).There were no difference in the incidence of puncture site infection and the success rate of one-time puncture(P>0.05).Conclusions Multiple single cannulation technique based on collaborative integrated nursing mode has obvious advantages over the traditional methods,and is clinically operable,worthy of popularization and application.