保护性护理干预在血液透析患者预防内瘘闭塞中的应用
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摘要
目的对保护性护理干预在血液透析患者预防内瘘闭塞中的临床应用进行探究。方法方便选取2017年10月—2018年10月期间在该院使用内瘘进行维持性血液透析患者76例作为研究对象,随机分为对照组(常规组基础护理)及治疗组(保护性护理),每组38例,比较两组护理效果。结果治疗组内瘘闭塞总发生率为1例(2.63)%与对照组,比较差异(χ~2=8.968,P<0.05);治疗组遵医嘱用药评分为(35.17±2.17)分、避免压迫(71.2±2.54)分、预防感染(34.60±2.11)分、自我监测(79.1±1.51)分、内瘘异常处理(28.70±1.92)分,明显高于对照组,组间差异有统计学意义(P<0.05);治疗组护理总满意度为37例(97.36%),明显高于对照组(χ~2=8.657,P<0.05)。结论实施保护性护理干预可对血液透析患者预防内瘘闭塞的应用效果显著,值得临床推广。
Objective To explore the clinical application of protective nursing intervention in prevention of internal fistula occlusion in hemodialysis patients. Methods A total of 76 patients with maintenance hemodialysis who underwent internal hemorrhoids in our hospital from October 2017 to October 2018 were convenient selected and randomly divided into the control group(conventional group basic nursing) and the treatment group(protective nursing), 38 patients in each group. The nursing effect of the two groups were compared. Results The total incidence of sputum occlusion in the treatment group was1 cases(2.63)%. Compared with the control group, the difference was obvious(χ~2=8.968, P<0.05). In the treatment group, the score of following doctor's prescription was(35.17±2.17)points, the score of avoiding oppression was(71.2±2.54)points, the score of preventing infection was(34.60±2.11)points, the score of self-monitoring was(79.1±1.51)points, and the score of internal fistula abnormal treatment was(28.70±1.92)points, which were significantly higher than those in the control group, the difference between the groups was significant(P<0.05) The total satisfaction of the treatment group was 37 cases(97.36)%,which was significantly higher than that of the control group(χ~2=8.657, P<0.05). Conclusion The effect of protective nursing intervention on prevention of internal fistula occlusion in hemodialysis patients is significant and worthy of clinical popularization.
Objective To explore the clinical application of protective nursing intervention in prevention of internal fistula occlusion in hemodialysis patients. Methods A total of 76 patients with maintenance hemodialysis who underwent internal hemorrhoids in our hospital from October 2017 to October 2018 were convenient selected and randomly divided into the control group(conventional group basic nursing) and the treatment group(protective nursing), 38 patients in each group. The nursing effect of the two groups were compared. Results The total incidence of sputum occlusion in the treatment group was1 cases(2.63)%. Compared with the control group, the difference was obvious(χ~2=8.968, P<0.05). In the treatment group, the score of following doctor's prescription was(35.17±2.17)points, the score of avoiding oppression was(71.2±2.54)points, the score of preventing infection was(34.60±2.11)points, the score of self-monitoring was(79.1±1.51)points, and the score of internal fistula abnormal treatment was(28.70±1.92)points, which were significantly higher than those in the control group, the difference between the groups was significant(P<0.05) The total satisfaction of the treatment group was 37 cases(97.36)%,which was significantly higher than that of the control group(χ~2=8.657, P<0.05). Conclusion The effect of protective nursing intervention on prevention of internal fistula occlusion in hemodialysis patients is significant and worthy of clinical popularization.
引文
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[7]鹿香花,王梦洁.血液透析患者动静脉内瘘栓塞的预防护理[J].护理学杂志,2016,31(19):31-33.
[8]孙庆华.保护性护理干预在血液透析患者预防内瘘闭塞中的应用[J].世界最新医学信息文摘,2018,18(63):264.
[2]张亚楠,王雨平.针对性护理干预应用于血液透析患者预防内瘘闭塞中的临床效果[J].世界最新医学信息文摘,2018,18(7):209.
[3]陈霞.对进行维持性血液透析的患者实施预见性护理对预防其丧失动静脉内瘘功能的效果分析[J].当代医药论丛,2018,16(9):239-241.
[4]郗永红.维持性血液透析患者自体动静脉内瘘狭窄或闭塞的原因及护理措施[J].基层医学论坛,2017,21(15):2009-2010.
[5]王彩虹,宋洁妮,赵玉.优质护理对血液透析患者自体动静脉内瘘闭塞的预防作用分析[J].中国医药指南,2017,15(14):210-211.
[6]康淑娟,张军玲,刘海霞,等.针对性护理干预应用于血液透析患者预防内瘘闭塞中的临床效果[J].临床医学研究与实践,2017,2(22):149-150.
[7]鹿香花,王梦洁.血液透析患者动静脉内瘘栓塞的预防护理[J].护理学杂志,2016,31(19):31-33.
[8]孙庆华.保护性护理干预在血液透析患者预防内瘘闭塞中的应用[J].世界最新医学信息文摘,2018,18(63):264.