摘要
目的探讨优质护理服务应用于自体动静脉内瘘术后血透护理中的效果分析。方法在2017年5月-2019年5月于广东省江门市五邑中医院血液透析中心行自体动静脉内瘘术后血透护理的患者中,选取符合研究条件的62例患者作为研究对象。随机分为两组,对照组32例采用常规护理方法,观察组30例采用优质护理服务,对比两组的血透患者的护理效果,即相关并发症发生率、生活质量、护理满意率以及自护能力状况。结果并发症发生情况进行比较,观察组感染、局部肿胀、渗漏、假性动脉瘤、血栓等并发症发生率明显低于对照组(P<0.05);观察组护理后躯体疼痛、生理功能、生理职能、活力、一般健康状况、情感职能、精神健康、社会功能等健康调查简表(the MOS item short form health survey,SF-36)评分明显高于对照组(P<0.05);观察组护理满意率明显高于对照组(P<0.05);以自我护理能力量表(self-care capacity scale,ESCA)评估血透患者的自护能力,观察组患者护理干预后自护能力评分明显高于对照组(P<0.05)。结论优质护理服务应用于自体动静脉内瘘术后血透护理中的效果显著,能减少相关并发症发生率,提升血透质量以及自护能力,提高生活质量和护理满意率,具有积极的临床意义。
Objective To explore effect of quality nursing service in hemodialysis nursing after autologous arteriovenous fistula operation.Methods The paper chose 62 patients meeting research conditions as research objects among patients with hemodialysis nursing after autologous arteriovenous fistula operation in hemodialysis center of Jiangmen City Wuyi Hospital of traditional Chinese medicine from May,2017 to may,2019,and divided them into two groups randomly,32 cases in control group were treated with routine nursing methods,and 30 cases in observation group with quality nursing services.Nursing effect of hemodialysis patients between two groups was compared,that is,incidence of related complications,life quality,nursing satisfaction degree and self-care ability.Results Complications incidence in observation group was significantly lower than control group(P<0.05).Scores of MOS item short form health survey(SF-36)in observation group were significantly higher than control group(P<0.05);Nursing satisfaction degree in observation group was significantly higher than control group(P<0.05).Evaluated with self-care ability scale(ESCA),self-care ability scores of observation group were significantly higher than control group after nursing intervention(P<0.05).Conclusion Quality nursing service can achieve significant effect in hemodialysis nursing after autologous arteriovenous fistula surgery,can reduce incidence of related complications,improve quality of hemodialysis and self-care ability,improve life quality and nursing satisfaction degree,which has positive clinical significance.
作者
陈丽
CHEN Li(Hemodialysis Center,Nephrology Department,Jiangmen City Wuyi Hospital of Traditional Chinese Medicine,Jiangmen,Guangdong,529000)
出处
《智慧健康》
2022年第21期97-100,共4页
Smart Healthcare
关键词
自体动静脉内瘘术
血透
优质护理服务
效果
自护能力
满意度
生活质量
Autogenous arteriovenous fistula
Hemodialysis
Quality nursing service
effect
Self protection ability
Satisfaction degree
Life quality
作者简介
陈丽(1981-),女,汉族,广东化州,本科,主管护师,研究方向:护理。