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优质护理模式指导下的护理干预措施对维持性血液透析患者内瘘维护的影响 被引量:41

Effect of maintenance of quality care model under the guidance of nursing interventions on patients with maintenance hemodialysis fistula
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摘要 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。方法选择2011年2月~2013年1月广东省湛江市中心人民医院维持性血液透析患者90例,将90例患者随机分为观察组和对照组。两组患者均为动静脉内瘘患者。对照组患者内瘘血管实施常规的护理,观察组在此基础上实施优质护理模式加以干预。观察两组患者血栓形成、感染、出血等并发症发生情况以及患者生活质量情况。结果观察组并发症发生率(8.89%)显著低于对照组(24.44%),差异有统计学意义(P<0.05),且患者的生活质量明显提高。结论对维持性血液透析患者内瘘血管实施优质的护理模式进行干预维护,能够显著降低患者内瘘的并发症,患者的生活质量得到很大的提高,护理效果显著。 Objective To study the effect of quality care model under the guidance of nursing in treating fistula of patients with maintenance hemodialysis. Methods 90 patients in Central People's Hospital of Zhanjiang City in Guangdong Province from February 2011 to December 2012 with maintenance hemodialysis were divided into two groups randomly. Both groups were treated by the implementation of the arteriovenous fistula. The control group was given the common nursing to treat fistula vascular, and the experiment group was given quality care model of nursing on the basis of common nursing. The thrombosis, infection, bleeding and other complications situation as well as the quality of life in patients were observed. Results The incidence of complications of the experiment group (8.89%) was significantly lower than the control group (24.44) (P 〈 0.05). And the quality of life in the experiment group had been improved. Conclusion Implementation of quality care for patients with maintenance hemodialysis intervention and the rate of fistula vascular can significantly reduce complications, the patient's quality of life has been greatly improved, nursing effect is great.
出处 《中国医药导报》 CAS 2013年第19期144-145,148,共3页 China Medical Herald
基金 广东省湛江市科技攻关计划项目(编号2011C3104026)
关键词 优质护理 维持性血液透析 内瘘 Quaihy care Maintenance hemodialysis Internal fistula
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