行维持性血液透析患者动静脉内瘘并发症的 预防方案构建及应用效果. (Chinese)

Construction and application effect of prevention plan for complications of arteriovenous fistula in patients undergoing maintenance hemodialysis. (English)

Objective To construct a prevention plan for complications of arteriovenous fistula in patients undergoing maintenance hemodialysis (MHD) and explore its application effect. Methods A total of 90 patients who underwent MHD treatment at the First Affiliated Hospital of Bengbu Medical College from January 2021 to January 2023 were included in the study. They were randomly divided into an observation group (45 cases) and a control group (45 cases) using a simple randomization method. Both groups received routine care, while the observation group received additional care aimed at preventing complications of arteriovenous fistula. The incidence of complications of arteriovenous fistula, treatment compliance and quality of life before and after intervention were compared between the two groups. Results The total incidence of complications of arteriovenous fistula in the observation group was 4. 44%, lower than the 17. 78% in the control group (P < 0. 05). The total treatment compliance rate of the observation group was 91. 11%, higher than the 75. 56% of the control group ( P < 0. 05). After 3 months of intervention, the physiological function, social function, and mental health scores of both groups increased compared to before intervention (all P < 0. 05), and the above three scores of the observation group were higher than those of the control group (all P < 0. 05). However, there was no statistical difference in the comparison of interpersonal relationship scores within or between the two groups ( all P > 0. 05). Conclusion Establishing a prevention plan for arteriovenous fistula complications in MHD patients can effectively reduce the incidence of arteriovenous fistula complications, improve the treatment compliance rate of patients, and also have positive significance for improving patients' quality of life. [ABSTRACT FROM AUTHOR]

目的 构建行维持性血液透析 (MHD) 患者动静脉内瘘并发症的预防方案, 并探讨其应用效果. 方法 将 2021 年 1 月至 2023 年 1 月在蚌埠医学院第一附属医院行 MHD 治疗的 90 例患者纳入研究, 使用简单随机法分为观 察组 (45 例)和对照组 (45 例). 2 组均接受常规护理, 观察组加用针对动静脉内瘘并发症预防的护理. 对比 2 组的 动静脉内瘘并发症发生率, 以及干预前后治疗依从性和生活质量变化. 结果 观察组的动静脉内瘘并发症总发生 率为 4. 44%, 低于对照组的 17. 78% (P < 0. 05). 观察组的治疗总依从率为 91. 11%, 高于对照组的 75. 56% (P < 0. 05). 干预 3 个月后, 2 组的生理功能, 社会功能及精神健康评分均较干预前升高 (P 均 < 0. 05), 且观察组的上述 3 项评分均高于对照组 (P 均 < 0. 05); 但 2 组内或组间在人际关系评分的比较上, 均无统计学差异 (P 均 > 0. 05). 结论 构建行 MHD 患者动静脉内瘘并发症的预防方案能够有效降低动静脉内瘘并发症发生率, 提高患者治疗依从 率, 且对于患者生活质量的改善也有积极意义。 [ABSTRACT FROM AUTHOR]

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