CAJ | 학술논문

目的探讨自我护理指导在糖尿病肾病患者动静脉内瘘成熟中的应用效果.方法将45例行动静脉内瘘的糖尿病肾病患者随机分为观察组25例和对照组20例,观察组在常规护理指导的基础上进行个体化的全程自我护理指导,强化自我护理的重要性,并随时监督检查,对照组进行常规的护理指导.观察两组护理指导依从性、护理知识知晓率、内瘘成熟情况,首次穿刺成功率的变化.结果 8周后护理指导依从性、护理知识知晓率、内瘘成熟情况,首次穿刺成功率比较有显著性差异(P＜0.05).结论自我护理指导在糖尿病肾病患者动静脉内瘘成熟中有积极的作用,可以促进动静脉内瘘尽早成熟.
목적 탐토자아호리지도재당뇨병신병환자동정맥내루성숙중적응용효과.방법 장45례행동정맥내루적당뇨병신병환자수궤분위관찰조25례화대조조20례,관찰조재상규호리지도적기출상진행개체화적전정자아호리지도,강화자아호리적중요성,병수시감독검사,대조조진행상규적호리지도.관찰량조호리지도의종성、호리지식지효솔、내루성숙정황,수차천자성공솔적변화.결과 8주후호리지도의종성、호리지식지효솔、내루성숙정황,수차천자성공솔비교유현저성차이(P＜0.05).결론 자아호리지도재당뇨병신병환자동정맥내루성숙중유적겁적작용,가이촉진동정맥내루진조성숙.
Objective To explore the application effect of the self-care instruction in patients with diabetic nephropathy arteriove nous fistula maturation. Methods Forty five patients with diabetic nephropathy arteriovenous fistula were randomly divided into observation group and control group. 20 cases in the control group were treated with normal nursing instruction while the other 25 ones in the observation group , with the whole individual self-care instruction on the basis of nursing instruction and strengthened the importance of self-care instruction and supervised, inspected at any time. Then compared the patients'nursing guide compliance, nursing knowledge awareness, fistula maturation and the first time success rate. Results After eight weeks , the nursing guide compliance, nursing knowledge awareness, fistula maturation and the first time success rate in the observation group were higher than those in the control group (P ＜0. 05) . Conclusions Self-care instruction in patients with diabetic nephropathy arteriovenous fistula maturation has a positive effect, can promote early maturation of arteriovenous fistula.