中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
35期
173-175
,共3页
动静脉内瘘%血液透析%临床护理%原因分析
動靜脈內瘺%血液透析%臨床護理%原因分析
동정맥내루%혈액투석%림상호리%원인분석
Internal arteriovenous fistula%Hemodialysis%Clinical nursing%Cause analysis
目的：探讨血液透析患者动静脉内瘘使用中失功的原因分析和临床护理。方法随机选取2012年6月—2014年6月该院收治的80例血液透析患者作为研究对象，按照数字法分为对照组和观察组，每组40例，对照组患者给予常规护理。观察组依照调研得来的真实状态，选取带有针对特性的护理方式。比较两组患者动静脉内瘘使用中出现功能下降或丧失情况。结果血液透析患者动静脉内瘘使用中出现功能下降或丧失是由多种原因引起的，其中，在低血压、过早使用动静脉瘘、穿刺不当、护理不当及自我保护意识差等原因中，对照组分别为9（22.5)、1（2.50)、8（20.0)、1（2.50)、3（7.50)，观察组分别为3（7.50)、0（0.00)、2（5.0)、0（0.00)、0（0.00)，观察组患者动静脉内瘘使用中出现丧失或下降的几率显著低于对照组，差异有统计学意义（P<0.05)。结论在给患者进行血液透析的过程中，护理人员应尽量预设针对特性的护理途径，以便改善原初的治疗成效，保障患者安全，提升原有的生活质量。
目的：探討血液透析患者動靜脈內瘺使用中失功的原因分析和臨床護理。方法隨機選取2012年6月—2014年6月該院收治的80例血液透析患者作為研究對象，按照數字法分為對照組和觀察組，每組40例，對照組患者給予常規護理。觀察組依照調研得來的真實狀態，選取帶有針對特性的護理方式。比較兩組患者動靜脈內瘺使用中齣現功能下降或喪失情況。結果血液透析患者動靜脈內瘺使用中齣現功能下降或喪失是由多種原因引起的，其中，在低血壓、過早使用動靜脈瘺、穿刺不噹、護理不噹及自我保護意識差等原因中，對照組分彆為9（22.5)、1（2.50)、8（20.0)、1（2.50)、3（7.50)，觀察組分彆為3（7.50)、0（0.00)、2（5.0)、0（0.00)、0（0.00)，觀察組患者動靜脈內瘺使用中齣現喪失或下降的幾率顯著低于對照組，差異有統計學意義（P<0.05)。結論在給患者進行血液透析的過程中，護理人員應儘量預設針對特性的護理途徑，以便改善原初的治療成效，保障患者安全，提升原有的生活質量。
목적：탐토혈액투석환자동정맥내루사용중실공적원인분석화림상호리。방법수궤선취2012년6월—2014년6월해원수치적80례혈액투석환자작위연구대상，안조수자법분위대조조화관찰조，매조40례，대조조환자급여상규호리。관찰조의조조연득래적진실상태，선취대유침대특성적호리방식。비교량조환자동정맥내루사용중출현공능하강혹상실정황。결과혈액투석환자동정맥내루사용중출현공능하강혹상실시유다충원인인기적，기중，재저혈압、과조사용동정맥루、천자불당、호리불당급자아보호의식차등원인중，대조조분별위9（22.5)、1（2.50)、8（20.0)、1（2.50)、3（7.50)，관찰조분별위3（7.50)、0（0.00)、2（5.0)、0（0.00)、0（0.00)，관찰조환자동정맥내루사용중출현상실혹하강적궤솔현저저우대조조，차이유통계학의의（P<0.05)。결론재급환자진행혈액투석적과정중，호리인원응진량예설침대특성적호리도경，이편개선원초적치료성효，보장환자안전，제승원유적생활질량。
Objective To investigate and analyze the reasons that cause the dysfunction of internal arteriovenous fistula in patients with hemodialysis and the corresponding clinical nursing. Methods 80 patients with hemodialysis admitted in our hospital from June 2012 to June 2014 were randomly selected as the subjects and divided into the control group and the observation group in accordance with the digital method with 40 patients in each. The control group were given the conventional nursing, and the obser-vation group were given the targeted nursing mode based on the investigated true status of the patients. And the dysfunction or loss of internal arteriovenous fistula was compared between the two groups. Results The dysfunction or loss of internal arteriovenous fis-tula in patients with hemodialysis is caused by many reasons, such as hypotension, use of internal arteriovenous fistula too early, improper puncture, inappropriate care, poor self-protection awareness and so on. In the control group, 9 cases(22.5%) had hypotension, 1 case(2.50%) used internal arteriovenous fistula too early, 8 cases(20.0%) were punctured improperly, 1 case(2.50%) was cared inappropriately, 3 cases(7.50%) had poor self-protection awareness;in the observation group, 3 cases(7.50%) had hypotension, 0 case(0.00%) used internal arteriovenous fistula too early, 2 cases(5.0%) were punctured improperly, 0 case(0.00%) was cared inap-propriately, 0 case(0.00%) had poor self-protection awareness. The probability of dysfunction or loss of internal arteriovenous fistu-la of the observation group was obviously lower than that of the control group, the difference was statistically significant (P<0.05). Conclusion For patients with hemodialysis, nursing staff should preset the targeted nursing as far as possible so as to improve the treatment effect, ensure the safety and enhance the quality of life of the patients.
