护理指导与家庭支持护理在慢性肾脏病维持性血液透析患者动静脉内瘘通畅率改善中的应用效果

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Abstract Objective To investigate the efficacy of nursing guidance and home supportive care in improving patency of autogenous arteriovenous fistulas(AVF)in chronic kidney disease(CKD)patients on maintenance hemodialysis.Methods Sixty CKD patients with AVF initially established at the hemodialysis center of Shandong Weifang Yidu Central Hospital between January 2019 and March 2021 and initially entered dialysis were selected as research objects.The random number table method was applied to divide the enrolled patients into two groups on average.Autogenous AVF maintenance was performed in the home support nursing group(group A, n=30)by routine in-hospital nursing guidance plus home support nursing,and in the control group(group B, n=30)by routine in-hospital nursing guidance.The complications,such as AVF stenosis,AVF thrombosis,AVF infection,swelling hand syndrome,plagiarism syndrome,and AVF occlusion,were counted after 12 weeks of intervention in each of the two groups.The chi-square test was used to compare the difference in complication rates between the two groups,and the patency rates of the AVF in the two groups were compared and analyzed by the Kaplan Meier method.Results The patency rate of AVF at the end of 12 weeks of intervention in group A was higher than that in group B,with significant difference(P＜0.05).The total incidence of AVF related complications and failure rate in group A was lower than that in group B,with significant difference(P＜0.05).Conclusion The combination of nursing guidance and home supportive care is of great importance in improving the patency of autogenous AVF in CKD patients on maintenance hemodialysis,and is worth promoting in the clinic.

Key words： Chronic kidney disease Hemodialysis Autogenous arteriovenous fistulas Home supportive care

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	ZHANG Guifeng
	CAI Shufang
	WANG Congzheng
	CHANG Lingling
	WANG Xiaocui

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ZHANG Guifeng,CAI Shufang,WANG Congzheng, et al. Efficacy of nursing guidance and home supportive care in improving patency of autogenous arteriovenous fistulas in chronic kidney disease patients on maintenance hemodialysis[J]. 中国当代医药, 2022, 29(10): 170-173.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I10/170

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