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：

自體動靜脈內瘺; 全程規范化護理; 維持性血液透析

DOI：

10.7507/1002-0179.20130088

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的　研究自體動靜脈內瘺全程規范化護理的可實施性及優勢。方法　制定自體動靜脈內瘺全程規范化護理工作流程及標準，將2011年6月－8月經自體動靜脈內瘺行維持性血液透析患者隨機分為觀察組（125例）和對照組（115例），分別予以全程規范化護理和普通護理，對比分析兩組之間內瘺不良事件發生率、患者滿意度、護士認同度等指標的差異。結果　兩組內瘺不良事件發生率分別為8.0%和21.0%，患者滿意度分別為98.4%和84.3%，差異均有統計學意義（P＜0.05）；兩組護士對本組護理模式認同度均為90.0%，差異無統計學意義（P＞0.05）。結論　自體動靜脈內瘺全程規范化護理模式能有效降低內瘺不良事件發生率并顯著提高患者滿意度，值得臨床推廣。

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

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.	曾偉紅. 血液透析尿毒癥患者早期使用動靜脈內瘺的護理干預 [J]. 中外醫療, 2011, 30 (19): 35-36.
7.	丁春玲. 長期血液透析患者動靜脈內瘺的護理分析 [J]. 中國醫藥科學, 2012, 1(21): 143-177.
8.	李鳳仙, 王晨, 王冬梅. 維持性血液透析患者動靜脈內瘺的護理 [J]. 當代護士·學術版, 2011, 11: 60-61.
9.	葉朝陽. 血液透析血管通路的理論與實踐 [M]. 上海: 上海醫科大學出版社. 2001: 295.
10.	張海云, 楊紅梅. 連續健康教育在血液透析患者動靜脈內瘺保護中的意義[J]. 使用臨床醫藥雜志·護理版, 2008, 4(1): 42-43.
11.	李莉, 李淑貞. 維持性血液透析患者動靜脈內瘺的護理體會72例 [J]. 中國社區醫師, 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.

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. 　曾偉紅. 血液透析尿毒癥患者早期使用動靜脈內瘺的護理干預 [J]. 中外醫療, 2011, 30 (19): 35-36.
7. 　丁春玲. 長期血液透析患者動靜脈內瘺的護理分析 [J]. 中國醫藥科學, 2012, 1(21): 143-177.
8. 　李鳳仙, 王晨, 王冬梅. 維持性血液透析患者動靜脈內瘺的護理 [J]. 當代護士·學術版, 2011, 11: 60-61.
9. 　葉朝陽. 血液透析血管通路的理論與實踐 [M]. 上海: 上海醫科大學出版社. 2001: 295.
10. 　張海云, 楊紅梅. 連續健康教育在血液透析患者動靜脈內瘺保護中的意義[J]. 使用臨床醫藥雜志·護理版, 2008, 4(1): 42-43.
11. 　李莉, 李淑貞. 維持性血液透析患者動靜脈內瘺的護理體會72例 [J]. 中國社區醫師, 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

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content