预防性护理干预对动静脉瘘血液透析患者的效果及其预防并发症的价值。

IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Alternative therapies in health and medicine Pub Date : 2024-08-01
Liang Yu, Xinghong Xu
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引用次数: 0

摘要

目的分析预防性护理干预对动静脉瘘(AVF)血液透析患者的效果及预防动静脉瘘并发症的价值:这是一项随机对照试验,从2019年4月至2021年5月,在我院接受治疗的60名血液透析患者入组。通过随机表法将所有入选者分为对照组(n=30)和研究组(n=30)。对照组采用常规护理方法,研究组采用预防性护理方法。评估并比较动静脉瘘并发症的发生率、动静脉瘘的血流量、焦虑和抑郁程度、生活质量和护理满意度:结果:干预后,研究组动静脉瘘并发症的发生率明显低于对照组。研究组动静脉瘘的血流量远高于对照组。研究组患者干预后的焦虑和抑郁水平均低于对照组。研究组患者干预后的生活质量远高于对照组。研究组患者干预后的护理满意度也高于对照组患者。换言之,与对照组相比,研究组患者对护理方式的满意度更高:预防性护理干预对血液透析患者是有效的。结论:预防性护理干预对血液透析患者有效,不仅能降低动静脉瘘并发症的发生率,还能改善动静脉瘘的血流量。此外,它们还能减少焦虑和抑郁等负面情绪,提高患者的生活质量以及对护理服务的满意度。
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The Effectiveness of Preventive Nursing Interventions in Patients on Hemodialysis with Arteriovenous Fistulas and Their Value in Preventing Complications.

Objective: To analyze the effectiveness of preventive nursing interventions in patients on hemodialysis with arteriovenous fistulas (AVF) and the value in preventing complications of the AVF.

Method: It was a randomized controlled trial that enrolled 60 patients on hemodialysis treated in our hospital from April 2019 to May 2021. All enrollments were divided into control group (n = 30) and study group (n = 30) by random table methods. The control group received conventional nursing methods, while the study group received preventive nursing methods. The incidence of AVF complications, blood flow in the AVF, levels of anxiety and depression, quality of life and nursing satisfaction were assessed and compared.

Results: The incidence of AVF complications in the study group after intervention was significantly lower than that in the control group. Blood flow in the AVF was much higher in the study group than in the control group. The anxiety and depression levels of patients in the study group after intervention were both lower than those of patients in the control group. Patients in the study group had a much better quality of life after intervention than those in the control group. The nursing satisfaction of patients in the study group after intervention was also higher than that of patients in the control group. In other words, patients in the study group were more satisfied with the way they had been cared for compared to those in the control group.

Conclusion: Preventive nursing interventions are effective in patients on hemodialysis. Not only do they reduce the incidence of AVF complications, they also improve blood flow in the AVF. In addition, they reduce such negative emotions as anxiety and depression, improves the patient's quality of life, as well as his or her satisfaction with care provision.

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来源期刊
Alternative therapies in health and medicine
Alternative therapies in health and medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
0.90
自引率
0.00%
发文量
219
期刊介绍: Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field. Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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