摘要
目的研究自体动静脉内瘘全程规范化护理的可实施性及优势。方法制定自体动静脉内瘘全程规范化护理工作流程及标准,将2011年6月-8月经自体动静脉内瘘行维持性血液透析患者随机分为观察组(125例)和对照组(115例),分别予以全程规范化护理和普通护理,对比分析两组之间内瘘不良事件发生率、患者满意度、护士认同度等指标的差异。结果两组内瘘不良事件发生率分别为8.0%和21.0%,患者满意度分别为98.4%和84.3%,差异均有统计学意义(P<0.05);两组护士对本组护理模式认同度均为90.0%,差异无统计学意义(P>0.05)。结论自体动静脉内瘘全程规范化护理模式能有效降低内瘘不良事件发生率并显著提高患者满意度,值得临床推广。
Objective To explore the feasibility and merits of whole-course standardized nursing for patients with autologous arteriovenous fistula（AVF） and its advantages.Methods The process and criterion of whole-course standardized nursing were formulated.From June to August in 2011,240 maintenance hemodialysis patients with AVF were observed and randomly divided into observation group（n=125） and control group（n=115） in the Department of Nephrology of West China Hospital of Sichuan University.The observation group was given whole-course standardized nursing,while the control group was given traditional nursing.Adverse events of AVF,satisfactory rate of patients and acceptable degree of nurse were observed and contrastively analyzed.Results The adverse events rate of AVF in the observation group and control group was 8% and 21% respectively;the satisfactory rate of patients was 98.4% and 84.3%;and the differences were statistically significant（P 0.05）.The acceptable degree of nurse in both groups were 90.0%,so there was no statistical difference（P 0.05）.Conclusion The whole-course standardized nursing can remarkably reduce the adverse events of AVF,and improve the satisfactory rate of maintenance hemodialysis patients,thus it is recommended.
出处
《华西医学》
CAS
2013年第2期275-278,共4页
West China Medical Journal
关键词
自体动静脉内瘘
全程规范化护理
维持性血液透析
Autologous arteriovenous fistula
Whole-course standardized nursing
Maintenance hemodialysis
