循证护理在预防血液透析患者内瘘动脉瘤形成中的应用

摘要

Objective To apply the method of evidence-based nursing in regular hemodialysis patients,discuss choose what kind of puncture prevention autogenous arteriovenous fi stula formation within the aneurysm.Methods 68 patients with maintenance hemodialysis were randomly divided into observation group and control group,each group(n=34). Control group adopted the arterial blood flow to the inverse direction puncture;Observation group by using the method of evidence-based nursing(EBN)to end the artery blood fl ow after piercing. All patients with venous side direction for centripetal puncture. The two groups of patients the incidence of internal fi stula aneurysm and urea nitrogen Compare,creatinine clearance. Results After the implementation of EBN,improved the original way of puncture,the incidence of internal fi stula aneurysm patients with observation group was obviously lower observation group of patients(P<0.05). Two groups of urea nitrogen,creatinine clearance in patients with no statistically signifi cant difference(P>0.005).Conclusions The application of evidence-based nursing in nursing staff provides a more scientifi c method to solve the problems in the work,not only meeting the needs of the patient care but making nursing quality continuous improvement.%目的 将循证护理的方法应用于规律血液透析患者,探讨选择何种穿刺方式预防自体动静脉内瘘形成动脉瘤.方法 将68例维持性血液透析患者随机分为观察组和对照组,每组各34例.对照组采用动脉端逆血流方向穿刺;观察组通过循证护理(EBN)的方法采用动脉端顺血流方向穿刺.所有患者静脉端均为向心方向穿刺.比较两组患者内瘘动脉瘤的发生率及尿素氮、肌酐清除率.结果 实施EBN后,改良了原有的穿刺方式,观察组患者内瘘动脉瘤的发生率明显低于观察组患者(P<0.05).两组患者的尿素氮、肌酐清除率的差异无统计学意义(P>0.05).结论 循证护理的应用为护理人员提供了更为科学的方法解决工作中的问题,不仅满足患者的治疗需要更使护理质量得到了持续改进.