探讨早期护理干预对维持性血液透析患者动静脉内瘘并发症发生率的影响

Effect Investigation of Early Nursing Intervention on Incidence of Arteriovenous Fistula Complications of Maintenance Hemodialysis Patients

目的分析行维持性血液透析的病人在早期应用有效地护理措施预防其并发症与提高生活质量的作用。方法随机抽取在医院自2015年4月至2016年4月接受维持性血液透析治疗的病人共有70例,将全部病人平均地划分成常规组与早期组,其中常规组的病人应用常规护理措施,而早期组的病人在常规组的前提下应用早期护理措施。比较两组病人的生活质量评分与并发症状况。结果早期组病人的并发症发生率、动脉瘤扩张与内瘘闭塞的比例都比常规组的明显减少,组间比较差异存在统计学方面的意义(P<0.05);早期组病人的生活质量评分比常规组的明显增加,组间比较差异存在统计学方面的意义(P<0.05)。结论行维持性血液透析的病人在早期应用有效地护理措施能够防止多种并发症的产生,提高病人的生活质量,值得在临床中广泛推行。

Objective To analyze the effect of effective nursing measures to prevent complications and improve the quality of life of patients undergoing maintenance hemodialysis. Methods A total of 70 cases by hemodialysis were randomly selected in the hospital from April 2015 to April 2016, and all patients were averagely divided into routine group and early group. The patients of routine group took routine nursing measures, while patients of early application took early nursing measures with the routine group. The quality of life score and complications of the two groups were compared. Results The patients early complication rate, aneurysm expansion and fistula occlusion ratio were significantly lower than that of the routine group(P<0.05). The quality of life score of early group was significantly higher than that of the routine group(P<0.05). Conclusion The effective nursing measures could effectively prevent complications and improve the quality of life of patients with maintenance hemodialysis.