维持性血液透析患者实施血管通路专项护理的效果分析

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【摘要】目的：观察血管通路专项护理在维持性血液透析治疗患者中的护理应用价值。方法：选取院内维持性血液透析治疗患者80例，采用数字随机法实施分组，每组病例数相同。探究组采取血管通路专项护理，基础组实施常规护理，对比两组护理满意度、并发症发生率、护理前后患者负性情绪评分与生活质量评分。结果：探究组护理满意度与基础组对比明显较高（P0.05），护理后，探究组负性情绪评分与基础组对比明显更低，具备指标差异性（P

【关键词】血管通路；维持性血液透析；专项护理；并发症

Effect analysis of special nursing of vascular access in maintenance hemodialysis patients

YU Lianhui， YANG Jin， XIAO Juan， LIU Xiaochun

Hemodialysis Room of Changsha Fourth Hospital， Hunan， Changsha， Hunan 410006， China

【Abstract】Objective：To observe the application value of special vascular access nursing in maintenance hemodialysis patients. Methods：A total of 80 maintenance hemodialysispatientsin hospital were selected and divided into groups by numerical random method，with the same number of cases in each group.The exploration group received vascular access special nursing，while the basic group received routine nursing.The nursing satisfaction，complication rate，negative emotion score before and after nursing and quality of life score of patients were compared between the two groups.Results：The nursing satisfaction of the exploration group was significantly higher than that of the basic group（P0.05），after nursing， the negative emotion score of the exploration group was significantly lower than that of the basic group，with indicator difference（P

【Key？Words】Vascular access； Maintenance hemodialysis； Special nursing； Complication

维持性血液透析属于尿毒症患者生命延长的有效办法，能够实现物质代谢改善，但无法完全替代肾脏对尿素氮、肌酐等各类代谢废物的机体排泄功能和分泌生物活性物质、维持激素平衡等功能，长期反复透析后各类血管通路并发症可能出现，对其预后质量造成影响[1-2]。（剩余4059字）