Effect of risk grading nursing on function and psychological status of arteriovenous fistula in hemodialysis patients
风险分级护理对血液透析患者动静脉内瘘功能及心理状况的影响

摘要

目的 风险分级护理对血液透析患者动静脉内瘘功能及心理状况的影响。方法 实验于2020年1月至2021年1月期间选择60例前来我院接收血液透析治疗的病人进行调研，参与本次调研病人除治疗外还应配合护理干预，按照护理举措将其归纳为2个小组，每组均纳入30例病人，根据护理方式将其命名为常规组与研究组。常规组所采用的护理方案为传统常规护理，研究组所采用的护理方案为风险分级护理。总结与探究2种护理方案实施效果。结果 （1）常规组护理满意评分结果与研究组护理满意评分结果对照，前者较低后者高，两组对照差异明显，（P<0.05）。（2）常规组失功率为16.67%，研究组失功率为3.33%，常规组失功率高于研究组，两组对照差异明显，（P<0.05）。结论 风险分级护理在血液透析病人护理中，实施效果优异，此方案可降低动静脉内瘘失功率，此方案值得临床推广和使用。

Abstract

Objective To investigate the effect of risk grading nursing on the function and psychological status of arteriovenous fistula in hemodialysis patients.
Methods from January 2020 to January 2021, 60 patients who came to our hospital for hemodialysis treatment were selected for investigation. In addition to treatment, patients participating in this investigation should also cooperate with nursing intervention. According to nursing measures, they were divided into two groups, with 30 patients in each group. They were named as routine group and research group according to nursing methods. The nursing scheme adopted by the routine group was traditional routine nursing, and the nursing scheme adopted by the study group was risk graded nursing. Summarize and explore the implementation effect of two nursing schemes.
Results (1) the score of nursing satisfaction in the routine group was lower than that in the study group, and the latter was higher. There was significant difference between the two groups (P<0.05). (2) The loss of power in the routine group was 16.67% and that in the study group was 3.33%. The loss of power in the routine group was higher than that in the study group. There was signi- ficant difference between the two groups (P<0.05).
Conclusion   risk grading nursing has excellent effect in the nursing of hemodialysis patients. This scheme can reduce the power loss of arteriovenous fistula. This scheme is worthy of clinical application.