基于需求导向的全程点式对接护理干预对慢性肾衰竭透析患者内瘘使用情况分析
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王亚婷
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上海市同济医院，上海，200065
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摘要：目的 重点探究慢性肾衰竭患者于血液透析期间应用基于需求导向的全程点式对接护理干预的所取效果，评估对内瘘使用时间、生活质量、自我护理能力、不良情绪评分、护理质量评分、护理满意度产生的影响。方法 界定研究起止时间为2023 年1 月～2025 年1 月，选择在上述时间段内本院收治的慢性肾衰竭透析患者102 人为研究对象，根据随机数字表法均衡划分为对照组、观察组，前者予以常规护理，后者施以基于需求导向的全程点式对接护理干预，对比内瘘使用时间、生活质量、自我护理能力、不良情绪评分、护理质量评分、护理满意度。结果 不同护理模式应用后，观察组生活质量、自我护理能力、不良情绪评分、护理质量评分改善效果优于对照组，内瘘使用时间、护理满意度较对照组明显偏高（P<0.05）。结论 予以慢性肾衰竭透析患者基于需求导向的全程点式对接护理干预在改善内瘘使用情况及提高预后结局质量方面具有积极意义，可借鉴。
关健词：基于需求导向；全程点式对接护理干预；慢性肾衰竭；透析；内瘘使用情况
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Analysis of Arteriovenous Fistula Usage in Dialysis Patients with Chronic Renal Failure Based on Need-Oriented End-to-End Pointto-Point Nursing Intervention
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Yating Wang
Tongji Hospital, Shanghai,200065, China
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Abstract: Objective This study aims to explore the effectiveness of a demand-oriented end-to-end point based nursing intervention for patients with chronic kidney failure during hemodialysis, and evaluate its impact on the duration of fistula use, quality of life, self-care ability, negative emotion score, nursing quality score, and nursing satisfaction. Methods The start and end time of the study was defined as January 2023 to January 2025. 102 chronic kidney failure dialysis patients admitted to our hospital during the above time period were selected as the research subjects. According to the random number table method, they were evenly divided into a control group and an observation group. The former received routine nursing care, while the latter received demand-oriented end-to-end point based docking nursing intervention. The time of fistula use, quality of life, self-care ability, negative emotion score, nursing quality score, and nursing satisfaction were compared. Results After the application of different nursing modes, the observation group showed better improvement in quality of life, self-care ability, negative emotion score, and nursing quality score than the control group. The use time of internal fistula and nursing satisfaction were significantly higher than those in the control group (P<0.05). Conclusion Providing demand-oriented end-to-end point based nursing interventions for chronic renal failure dialysis patients has positive significance in improving the use of internal fistulas and enhancing the quality of prognosis outcomes, which can be used as a reference.
Keywords : demand-oriented; Whole process point based nursing intervention; Chronic renal failure; Dialysis; Use of internal fistula
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