CAJ | 학술논문

目的：探讨集束化护理在血液透析患者新瘘使用中的应用。方法以2012年3月至2014年2月四川大学华西医院100例成熟新瘘启用1个月内的血液透析患者作为研究对象，比较两组患者新瘘使用情况及护士、患者满意度。结果集束组穿刺达标率为96．0％，血流量达标率为94．0％，新瘘失功率为4．0％，血流感染率为2．0％，血肿发生率为4．0％；对照组穿刺达标率为90．0％，血流量达标率为88．0％，新瘘失功率为16．0％，血流感染率为4．0％，血肿发生率为14．0％。集束组穿刺成功率和血流量达标率高于对照组，新瘘失功率、血流量感染率及血肿发生率低于对照组，差异均有统计学意义（ P＜0．05）。集束组护士满意度为94．0％，患者满意度为98．0％；对照组护士满意度为84．0％，患者满意度为86．0％。集束组护士满意度及患者满意度均高于对照组，差异有统计学意义（P＜0．05）。结论在血液透析患者新瘘启用中实施集束化护理能够提高护理人员的专业穿刺技能，改善医疗护理效果质量，提高护士及患者满意度。
목적：탐토집속화호리재혈액투석환자신루사용중적응용。방법이2012년3월지2014년2월사천대학화서의원100례성숙신루계용1개월내적혈액투석환자작위연구대상，비교량조환자신루사용정황급호사、환자만의도。결과집속조천자체표솔위96．0％，혈류량체표솔위94．0％，신루실공솔위4．0％，혈류감염솔위2．0％，혈종발생솔위4．0％；대조조천자체표솔위90．0％，혈류량체표솔위88．0％，신루실공솔위16．0％，혈류감염솔위4．0％，혈종발생솔위14．0％。집속조천자성공솔화혈류량체표솔고우대조조，신루실공솔、혈류량감염솔급혈종발생솔저우대조조，차이균유통계학의의（ P＜0．05）。집속조호사만의도위94．0％，환자만의도위98．0％；대조조호사만의도위84．0％，환자만의도위86．0％。집속조호사만의도급환자만의도균고우대조조，차이유통계학의의（P＜0．05）。결론재혈액투석환자신루계용중실시집속화호리능구제고호리인원적전업천자기능，개선의료호리효과질량，제고호사급환자만의도。
Objective To investigate the application of cluster nursing in new fistula use of hemodialysis pa‐tients .Methods 100 hemodialysis cases of new matured fistula within 1 month after start using in our hospital from March 2012 to February 2014 were taken as the research subjects ,the new fistula use situation and the satisfaction of nurses and patient were compared between the cluster nursing group and the control group .Results In the cluster nursing group ,the puncture reaching standard rate ,blood flow amount reaching standard rate ,new fistula lost power rate ,bloodstream infection rate and hematoma occurrence rate were 96 .0% ,94 .0% ,4 .0% ,2 .0% and 4 .0% respec‐tively ,which in the control group were 90 .0% ,88 .0% ,16 .0% ,4 .0% and 14 .0% respectively .The success rate and blood flow amount reaching standard rate in the cluster group were higher than those in the control group ,while the new fistula lost power rate ,bloodstream infection rate and hematoma occurrence rate were lower than those in the control group ,the differences were statistically significant (P<0 .05) .The nurse satisfaction and patient satisfaction were 94 .0% and 98 .0% in the cluster nursing group and 84 .0% and 86 .0% in the control group .The nurse satisfac‐tion and patient satisfaction in the cluster nursing group were higher than those in the control group ,the differences were statistically significant (P<0 .05) .Conclusion Implementation of cluster nursing in the start using of new fis‐tula in hemodialysis patients can increase the nurse′s professional skills of puncture ,improve the quality of medical care effect and enhance the nurse and patient satisfaction .