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| Effect of nursing intervention on arteriovenous fistula formation in hemodialysis patients |
| WU Li-dan CAI Li-na▲ |
| Hemodialysis Room, Xiamen Hospital of Traditional Chinese Medicine |
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Abstract Objective To investigate the influence of nursing intervention on the formation of blunt needle fistula in arteriovenous internal fistula in hemodialysis patients. Methods A total of 260 patients with hemodialysis+blunt needle puncture afterarteriovenous internal fistula admitted to Xiamen Hospital of Traditional Chinese Medicine from February 2016 to February 2018 were selected as the research objects. By envelope randomization, they were divided into the observation group (140 cases) and the control group (120 cases). The observation group was given intervention, was punctured by the same nursing staff, while the control group was given routine nursing, was punctured according to the working hours of nursing staff. The formation time of blunt needle fistula, different methods of scab removal, three times of puncture, pain score of blunt needle fistula formation, anxiety and depression scores before and after puncture were compared between the two groups. Results The formation time of blunt needle fistula in observation group was shorter than that in control group, and the difference was statistically significant (P＜0.05). The number of fistula puncture in observation group was less than that in control group, and the difference was statistically significant (P＜0.05). The scab removal time in the observation group was shorter than that in the control group after wet application of warm sterile normal saline cotton ball, and the difference was statistically significant (P＜0.05). The pain score of the observation group was lower than that of the control group after three puncture times, and the difference was statistically significant(P＜0.05). The pain score of blunt needle fistula formation in the observation group was lower than that in the control group, and the difference was statistically significant (P＜0.05). Before puncture, there were no significant difference in anxiety and depression scores between the two groups (P＞0.05). After puncture, anxiety and depression scores in the observation group were lower than those in the control group, with statistical differences (P＜0.05）. Conclusion Nursing intervention is helpful to regulate the bad mood of patients in the formation stage of blunt needle fistula; the effect of eschar removal is more significant by wet application of warm sterile saline cotton ball; the formation time of arteriovenous fistula in hemodialysis patients can be shortened by puncturing by a nursing staff
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