论文部分内容阅读
目的探讨行血液净化的肾病患者血管通路的护理对策。方法 52例接受血液净化治疗患者为研究对象,对其临床资料进行回顾性分析,总结并研究提升患者生存质量、减少血管通路并发症发生的护理措施,并观察护理效果。结果 52例肾病患者治疗及临床血管通路护理过程中,仅2例(3.8%)出现侧肢肿胀,护理人员抬高患肢后肿胀症状慢慢得到缓解,并在4 d后完全消除;其余患者血液净化治疗均进展顺利,未出现恶性不良事件。结论对行血液净化的肾病患者进行心理干预、动静脉内瘘护理、穿刺置管护理等系统化临床护理,能大大减少血管通路并发症发生率,有利于透析治疗的顺利进行,明显改善了患者预后。
Objective To investigate the nursing strategies of vascular access in patients with blood-purifying nephropathy. Methods Fifty-two patients undergoing blood purification were enrolled in this study. The clinical data of the patients were retrospectively analyzed. The nursing measures to improve the quality of life and reduce the complications of vascular access were summarized and studied. Results In the treatment of 52 cases of nephropathy and the treatment of clinical vascular access, only 2 cases (3.8%) had swelling of the side limbs. The symptoms of swelling were slowly relieved after the nurses raised their limbs and were completely eliminated after 4 days. The remaining patients Blood purification treatment are progressing smoothly, no malignant adverse events. Conclusion Systematic clinical nursing of patients with blood-purifying nephropathy through psychological intervention, arterio-venous fistula care and puncture and catheterization can greatly reduce the incidence of vascular access complications, which is beneficial to the smooth progress of dialysis treatment and significantly improve the patients Prognosis.