摘要
目的分析延续性护理对于透析患者动静脉内瘘作为增强CT血管通路的作用。方法将于2020年6月至2022年6月在郑州大学第一附属医院行动静脉内瘘血液透析并接受增强CT检查的92例患者作为此次研究对象,组别划分依据为分层随机抽样法,对照组46例接受常规护理,实验组46例接受常规护理+延续性护理。比较两组动静脉内瘘失功发生率、护理前后患者自护能力评分、生活质量评分。结果实验组动静脉内瘘失功发生率较对照组更低,差异有统计学意义(P<0.05),分别为2.17%、13.04%;护理前两组动静脉内瘘自护能力评分,差异无统计学意义(P>0.05),护理后实验组并发症管理、疾病监测、饮食管理、用药依从性、操作技术评分均较对照组更高,差异有统计学意义(P<0.05);护理前两组生活质量评分比较,差异无统计学意义(P>0.05),护理后实验组生理、躯体、精神、总体健康四个维度评分均高于对照组,差异有统计学意义(P<0.05)。结论延续性护理在动静脉内瘘血液透析并接受增强CT检查的患者中具有极高的应用价值,可有效预防内瘘失功,提升患者自护能力,建议临床应用。
Objective To analyze the role of continuous nursing in enhancing CT vascular access for arteriovenous fistula in dialysis patients.Method A total of 92 patients who underwent hemodialysis and enhanced CT examination for venous fistula at the First Affiliated Hospital of Zhengzhou University from June 2020 to June 2022 were selected as the study subjects.The grouping was based on stratified random sampling,with 46 patients in the control group receiving routine nursing and 46 patients in the experimental group receiving routine nursing and continuing nursing.The incidence of arteriovenous fistula failure,patient self-care ability score before and after nursing,and quality of life score between the two groups were compared.Result The incidence of arteriovenous fistula failure in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05),with 2.17%and 13.04%,respectively;There was no statistically significant difference in self-care ability scores between the two groups before nursing care for arteriovenous fistula(P>0.05).After nursing,the experimental group had higher scores for complications management,disease monitoring,dietary management,medication compliance,and operational techniques compared to the control group,with a statistically significant difference(P<0.05);There was no significant difference in the quality of life scores between the two groups before nursing(P>0.05).After nursing,the experimental group had higher scores in the four dimensions of physiology,body,spirit,and overall health than the control group,with a statistically significant difference(P<0.05).Conclusion Continuous nursing has high application value in patients with arteriovenous fistula undergoing hemodialysis and enhanced CT examination,which can effectively prevent internal fistula failure and improve patient self-care ability.It is recommended for clinical application.
作者
丁丽
DING Li(Department of Radiology,First Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450052,China)
出处
《临床研究》
2023年第9期173-176,共4页
Clinical Research
关键词
延续性护理
透析
动静脉内瘘
增强CT血管通路
continuing nursing
dialysis
arteriovenous fistula
enhanced CT vascular access
