Research on the Whole-course Standardized Care for Patients with Autologous Arteriovenous Fistula_West China Medical Journal

Authors：

ZHAO Qiuyan ¹ ,  ZHOU Qin ² , LI Chao ² , LIN Rong ² , HU Xiuying ¹ , WANG Ying. ¹

1. Department of Geriatrics; 2. Department of Nephrology; West China Hospital, Sichuan University, Chengdu 610041, P. R. China;

Corresponding author：

ZHOU Qin, Email: tianleicui@163.com

Keywords：

自体动静脉内瘘; 全程规范化护理; 维持性血液透析

DOI：

10.7507/1002-0179.20130088

Video：

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目的　研究自体动静脉内瘘全程规范化护理的可实施性及优势。方法　制定自体动静脉内瘘全程规范化护理工作流程及标准，将2011年6月－8月经自体动静脉内瘘行维持性血液透析患者随机分为观察组（125例）和对照组（115例），分别予以全程规范化护理和普通护理，对比分析两组之间内瘘不良事件发生率、患者满意度、护士认同度等指标的差异。结果　两组内瘘不良事件发生率分别为8.0%和21.0%，患者满意度分别为98.4%和84.3%，差异均有统计学意义（P＜0.05）；两组护士对本组护理模式认同度均为90.0%，差异无统计学意义（P＞0.05）。结论　自体动静脉内瘘全程规范化护理模式能有效降低内瘘不良事件发生率并显著提高患者满意度，值得临床推广。

Citation： ZHAO Qiuyan,ZHOU Qin,LI Chao,LIN Rong,HU Xiuying,WANG Ying.. Research on the Whole-course Standardized Care for Patients with Autologous Arteriovenous Fistula. West China Medical Journal, 2013, 28(2): 275-278. doi: 10.7507/1002-0179.20130088 Copy

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1. 　National Kidney Foundation. K/DOQI: clinical practice guidelines for vascular access, 2006[J]. Am J Kidney Dis, 2006, 48: S248-S257.
2. 　Schwab S, Besarab A, Beathard G, et al. NKF-DOQI clinical practice guidelines for vascular access[J]. Am J Kidney Dis, 1997, 30(Suppl 3): 150-191.
3. 　Vanherweghem JL, Yassine T, Goldman M, et al. Subclavian vein thrombosis: a frequent complication of subclavian vein cannulation for hemodialysis [J]. Clin Nephrol, 1986, 26(5): 235-238.
4. 　Palabrica T, Lobb R, Furie BC, et al. Leukocyte accumulation promoting fibrin deposition is mediated in vivo by P-selectin on adherent platelets [J]. Nature, 1992, 359: 848-851.
5. 　Weiss MF, Scivittaro V, Anderson JM. Oxidative stress and increased expression of growth factors in lesions of failed hemodialysis access [J]. Am J Kidney Dis, 2001, 37(5): 970-980.
6. 　曾伟红. 血液透析尿毒症患者早期使用动静脉内瘘的护理干预 [J]. 中外医疗, 2011, 30 (19): 35-36.
7. 　丁春玲. 长期血液透析患者动静脉内瘘的护理分析 [J]. 中国医药科学, 2012, 1(21): 143-177.
8. 　李凤仙, 王晨, 王冬梅. 维持性血液透析患者动静脉内瘘的护理 [J]. 当代护士·学术版, 2011, 11: 60-61.
9. 　叶朝阳. 血液透析血管通路的理论与实践 [M]. 上海: 上海医科大学出版社. 2001: 295.
10. 　张海云, 杨红梅. 连续健康教育在血液透析患者动静脉内瘘保护中的意义[J]. 使用临床医药杂志·护理版, 2008, 4(1): 42-43.
11. 　李莉, 李淑贞. 维持性血液透析患者动静脉内瘘的护理体会72例 [J]. 中国社区医师, 2011, 13(35): 262.
12. 　Polkinghorne KR, Seneviratne M, Kerr PG. Effect of a vascular access nurse coordinator to reduce central venous catheter use in incident hemodialysis patients: a quality improvement report [J]. Am J Kidney Dis, 2009, 53(1): 99-106.

West China Medical Journal

Research on the Whole-course Standardized Care for Patients with Autologous Arteriovenous Fistula

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