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早期标准化护理干预在降低血透患者动静脉内瘘并发症发生率的作用研究 被引量:4

Effect of Early Standardized Nursing Intervention on Reducing the Incidence of Arteriovenous Fistula Complications in Hemodialysis Patients
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摘要 目的:分析早期护理干预方法在降低血液透析患者动静脉内瘘并发症中的作用。方法:选择我院于2019年3月—2020年6月间收治的74例血透患者,经随机数字表法对患者平均分组后,对照组血液透析患者接受常规护理,实验组血透患者则采用了"常规护理+早期标准化护理干预"的方法,记录两组血透患者的动静脉内瘘并发症发生率、健康信念、对护理满意度等数据。结果:比较患者的动静脉内瘘并发症的发生率情况,实验组仅为8.11%,显著低于对照组的37.84%,数据差异有统计学意义(P<0.05);比较患者对护理的满意度情况,实验组达到了97.30%,对照组为83.78%,数据差异有统计学意义(P<0.05);患者的健康信念比较,实验组患者护理后的自我效能、感知健康促进行为障碍、健康动力的评分分别为(3.71±0.08)分、(3.98±0.13)分、(4.03±0.12)分,优于对照组,数据差异有统计学意义(P<0.05)。结论:在血透患者临床干预阶段,落实早期标准化护理干预方法能够取得满意效果,该护理方法对于降低并发症发生率、提高患者满意度以及健康信念的意义重大,满足临床干预要求,值得推广。 Objective: To analyze the effect of early nursing intervention on reducing the complications of arteriovenous fistula in hemodialysis patients. Methods: Seventy-four hemodialysis patients in our hospital from March 2019 to June 2020 were selected and divided into two groups by random number table. The control group received routine nursing, while the experimental group received "routine nursing + early standardized nursing intervention" Satisfaction with nursing and other data were recorded. Results: The incidence of arteriovenous fistula complications in the experimental group was only 8.11%, which was significantly lower than 37.84% in the control group(P<0.05);The patients’ satisfaction with nursing was 97.30% in the experimental group and 83.78% in the control group, and the difference was statistically significant(P<0.05);The scores of self-efficacy, perceived health promotion behavior disorder and health motivation in the experimental group after nursing were(3.71±0.08),(3.98±0.13),(4.03±0.12), and the difference was statistically significant(P<0.05). Conclusion: In the clinical intervention stage of hemodialysis patients, the implementation of early standardized nursing intervention method can achieve satisfactory results, which is of great significance to reduce the incidence of complications, improve patient satisfaction and health belief, meet the requirements of clinical intervention, and is worthy of promotion.
作者 赵纪玲 陆小双 ZHAO Ji-ling;LU Xiao-shuang(Department of Nephrology,the First Affiliated Hospital of Bengbu Medical College)
出处 《中国标准化》 2021年第16期196-199,共4页 China Standardization
关键词 早期标准化护理干预 血液透析 并发症 护理满意度 健康信念 early standardized nursing intervention hemodialysis complications nursing satisfaction health belief
作者简介 赵纪玲,本科,护师,研究方向为肾内科护理。
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