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目的:探讨优质护理干预对维持性血液透析患者内瘘血管的影响。方法:选取本院在2013年1月-2016年12月收治的维持性血液透析患者110例,根据随机数字表法将其分为观察组和对照组,每组各55例。对照组给予常规护理,观察组在此基础上给予优质护理干预,对比两组患者并发症发生率,内瘘闭塞率和动脉瘤样扩张率,采用SF-36生活质量量表评定患者护理后生活质量,并比较两组患者护理满意度。结果:经护理干预后,观察组患者出血、感染及血栓形成的并发症总发生率为7.27%,显著低于对照组的25.45%(P<0.05);观察组患者内瘘闭塞率和动脉瘤样扩张率分别为1.82%、7.27%,显著低于对照组的14.55%、18.18%(P<0.05);观察组患者的各项生活质量评分均显著高于对照组(P<0.05);观察组患者护理满意度明显高于对照组(P<0.05)。结论:对维持性血液透析患者给予优质护理干预,可显著减少并发症发生率,并降低内瘘闭塞率和动脉瘤样扩张率,明显改善患者生活质量,提高护理满意度,值得临床推广。
Objective: To investigate the effect of quality nursing intervention on the fistula blood vessels in maintenance hemodialysis patients. Methods: One hundred and ten patients with maintenance hemodialysis who were treated in our hospital from January 2013 to December 2016 were selected and divided into observation group and control group according to random number table method, with 55 cases in each group. The control group was given routine nursing care. The observation group was given high-quality nursing intervention on this basis. The complication rate, fistula occlusion rate and aneurysm-like dilatation rate were compared between the two groups. SF-36 quality of life scale Quality, and compared the two groups of patient satisfaction. Results: After nursing intervention, the total incidence of complications of bleeding, infection and thrombosis was 7.27% in the observation group, which was significantly lower than that of the control group (25.45%, P <0.05). The occlusion rate and aneurysm (P <0.05). The quality of life of patients in the observation group was significantly higher than that of the control group (P <0.05). The rate of expansion was 1.82% and 7.27% respectively, which was significantly lower than that of the control group (14.55% and 18.18% Group nursing satisfaction was significantly higher than the control group (P <0.05). Conclusion: The quality nursing intervention on maintenance hemodialysis patients can significantly reduce the incidence of complications, and reduce the occlusion rate of fistula and aneurysm-like dilatation rate, significantly improve the quality of life of patients and improve nursing satisfaction, worthy of clinical promotion.