中国血液净化

中国血液净化 ›› 2019, Vol. 18 ›› Issue (11): 798-800.doi: 10.3969/j.issn.1671-4091.2019.11.018

• 护理研究 • 上一篇    下一篇

血液透析肢体简易固定装置的临床应用效果观察

程红梅1,宋春梅1,刘永玲1,郭斌1   

  1. 1. 包头医学院第一附属医院肾内科血液透析中心
  • 收稿日期:2019-04-01 修回日期:2019-09-05 出版日期:2019-11-12 发布日期:2019-10-28
  • 通讯作者: 程红梅：1132330409@qq.com E-mail:1132330409@qq.com
  • 基金资助:
    2018 年内蒙古包头市卫生医药基金(2018C2007-1-14)

Clinical application of a simple holder for the hemodialysis arm

  1. 1Hemodialysis Center, Renal Division, Department of Medicine, the First Affiliated Hospital of Baotou Medical College, Baotou 014010, China
  • Received:2019-04-01 Revised:2019-09-05 Online:2019-11-12 Published:2019-10-28

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摘要： 【摘要】目的    探讨“血液透析肢体简易固定装置”的临床应用。方法    在血液透析治疗过程中干预组应用血液透析肢体简易固定装置，对照组采用传统的固定方法，观察2 组患者动静脉内瘘不良事件发生情况；透析侧手臂的舒适度情况；调查应用血液透析肢体简易固定装置前、后医护人员的满意度。结果 干预组患者动静脉内瘘不良事件的发生率和透析侧手臂的舒适度明显高于对照组患者(t= 11.145；＜0.001)，医护人员在应用血液透析肢体简易固定装置后的满意度明显高于应用血液透析肢体简易固定装置前(Z=-5.463,P＜0.001)。结论血液透析肢体简易固定装置对透析侧手臂具有很好的固定保护作用，能明显降低在血液透析过程中内瘘相关不良事件的发生率。

关键词: 血液透析, 动静脉内瘘, 血液透析肢体简易固定装置

Abstract:

【Abstract】Objective To discuss the clinical application of a simple holder for the hemodialysis arm. Method During the hemodialysis session, the intervention group used a simple holder device for the hemodialysis arm, while the control group used the traditional fixation method for the hemodialysis arm. The adverse events of arteriovenous fistula and the comfort of dialysis arm were compared between the two groups. After the use, the satisfaction of the simple holder for the hemodialysis arm was assessed by the patients and nurses. Result The adverse events of arteriovenous fistula and the comfort degree of dialysis arm were significantly higher in intervention group than in control group (t=11.145, P<0.001). The satisfaction degree of the simple holder method was significantly higher than that of traditional fixation method (Z=-5.463, P＜0.001) in both
the patients and the nurses. Conclusion The simple holder has a good fixation and protection effects on the hemodialysis arm and can significantly reduce the adverse events of arteriovenous fistula during hemodialysis.

Key words: Hemodialysis, Arteriovenous fistula, Simple arm holder device for hemodialysis

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