CAJ | 학술논문

目的：研究护理干预在血液透析患者自体动静脉内瘘闭塞保守治疗中的应用．方法：选取2013－11／2014－05我院收治的长期血液透析患者164例纳入研究，分析血液透析患者自体动静脉内瘘闭塞的原因，并采取相应的措施，分为干预组（ n＝82）和对照组（ n＝82），对照组仅接受非住院治疗，干预组在对照组的基础上加以护理干预，对患者的动静脉内瘘闭塞情况进行对比分析．结果：对患者进行问卷调查，干预组患者的遵医嘱用药、避免压迫、预防感染以及自我监测、内瘘异常处理情况分值都显著高于对照组，两组比较差异有统计学意义（P＜0．05）．干预组患者的满意度、健康教育分数均显著优于对照组，两组比较差异有统计学意义（P＜0．05），且干预组82例患者中，74例患者内瘘成熟，占90．24％，明显高于对照组73．17％，差异有统计学意义（ P＜0．05）．结论：护理干预对于血液透析患者自体动静脉内瘘闭塞保守治疗有着重要的作用，且患者满意度高、健康教育效果好，能够有效提高患者自护能力与内瘘成熟率，值得临床推广．
목적：연구호리간예재혈액투석환자자체동정맥내루폐새보수치료중적응용．방법：선취2013－11／2014－05아원수치적장기혈액투석환자164례납입연구，분석혈액투석환자자체동정맥내루폐새적원인，병채취상응적조시，분위간예조（ n＝82）화대조조（ n＝82），대조조부접수비주원치료，간예조재대조조적기출상가이호리간예，대환자적동정맥내루폐새정황진행대비분석．결과：대환자진행문권조사，간예조환자적준의촉용약、피면압박、예방감염이급자아감측、내루이상처리정황분치도현저고우대조조，량조비교차이유통계학의의（P＜0．05）．간예조환자적만의도、건강교육분수균현저우우대조조，량조비교차이유통계학의의（P＜0．05），차간예조82례환자중，74례환자내루성숙，점90．24％，명현고우대조조73．17％，차이유통계학의의（ P＜0．05）．결론：호리간예대우혈액투석환자자체동정맥내루폐새보수치료유착중요적작용，차환자만의도고、건강교육효과호，능구유효제고환자자호능력여내루성숙솔，치득림상추엄．
AIM:To study the application of nursing intervention in the conservative treatment of hemodialysis patients with autologous arteriovenous fistula occlusion. METHODS:A total of 164 cases of long?term hemodialysis in our hospital from November 2013 to May 2014 were included in the study. The reasons of autologous arteriovenous fistula occlusion in hemodialysis patients were analyzed and appropriate measures were applied. The subjects are grouped into intervention group and control group, with 82 cases in each group. The control group only received non?hospital care, and nursing intervention were applied to intervention group on the basis of treatment of control group. A comparative analysis of arteriovenous fistula occlusion condition of patients was made between two groups. RESULTS:Questionnaires to all patients,the scores of prescription drugs, avoiding oppression, preventing infection,self monitoring and fistula exception handling were significantly better than control group, there was significant difference between the two groups ( P<0. 05 ) . The patients satisfaction, health education scores of intervention group were significantly better than the control group, the difference was statistically significant ( P<0. 05 ) . A total of 74 patients with mature fistula account for 90. 24% in all 82 cases of intervention group,which was evidently higher than 73. 17% in control group with a statistically significant difference between two groups ( P<0. 05 ) . CONCLUSION: The nursing intervention displays an important role in conservative treatment of hemodialysis patients with autologous arteriovenous fistula occlusion, which could improve patients’ self care ability and fistula maturation rate,and it is worthy of clinical promotion.