血液透析病人自体动静脉内瘘使用率不达标障碍因素的质性研究

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AbstractObjetive：Toanalzetheobstaclefactorsfornadequateutiliationrateofautologousarteriovenousfistula（AVF）duringthe firstdialysisofalysispatients.Methods：Usingthefocusgroupinterviewmethod，interviewswereconductedwith16dicaland nursingstaffromtenephologydepartmentandialysisroomofSecondHospitalofhaniMedicalUniversityswellas2patiets diagnosed withend-stage kidneydiseasewounderwenthemodialysis treatmentforlessthan 3months.Colaizis7-stepanalysismethod wasusedfordataanalysis.Results：TheobstaclefactorsforinadequateutlizationrateofautologousAVFdurigthefirstdialysisof dialysispatientsincdedtreaspesevidence，adoptersandpracteenvionntIntesofevidenc：lackofrelevantdatasurt， difiultexetioNurseslackuthorityLackofresearchsultsfomoterfeldstoasistpatientsinmakingactiedecisios.Intesof adopters：patientsdotatachimporacetteiseaseandaveisufentwaren.epatintefuestoestablshanrteeou fistulainadvance.Thepatientsemotionswasconfusionandfear.Intersofpracticalenvironment：alackofstandardizedoperating procedure forautologousarteriovenous fistula.Alackofacomprehensive vascularacess specialstmanagement team.Andalackof establishedultidisciplinarycoopeationmehasms.Concusions：GuiddbyteOtaaresarchlicatiomodel，thisstudyideifed 9majorobstaclefactorsforinadequateutlizatiorateofautologousAVFduringthefirstdialysisofdalysispatientsfromthrespects： evidence，otetialdoptsndacticalontItoddasisfosuctigtetiategidomoigly establishment of autologous arteriovenous fistulas in the future.

Keywordsautologous arteriovenous fistula;hemodialysis;barierfactors;focus group interviews;qualitative study; nursing摘要目的：分析透析病人首次透析自体动静脉内瘘（AVF）使用率不达标的障碍因素。（剩余11387字）