钝针扣眼穿刺在血液透析患者动静脉内瘘中的应用及护理

[摘要] Abstract：ABSTRACT: Objective To discuss application of buttonhole puncture method with blunt needle in hemodialysis patients with internal arteriovenous fistula operation and its nursing. Methods A total of 42 hemodialysis patients with internal arteriovenous fistula operation were randomly divided into study group (n=21) and control group (n=21). The control group was given conventional nursing and the study group applied nursing intervention for buttonhole puncture. The incidence of bleeding at puncture point and fistula-induced complication were observed between two groups. The degree of pain was assessed by Visual Analog Scale (VAS) and nursing satisfaction rate was investigated by self-made questionnaire. Results The incidence of bleeding at puncture point and fistula-induced complication were 4.0%(2/50) and 4.8%(1/21),which were significantly higher than 16.0%(8/50) and 28.6%(6/21) in the observation group (P＜0.05). The study group had higher satisfaction rate and lower VAS score compared with the controls (P＜0.05). Conclusion Nursing intervention for buttonhole puncture of blunt needle can reduce the incidence of fistula-induced complication and relieve pain of patients.

[学科分类] 护理学

[关键词] 动静脉內瘘;透析;钝针扣眼穿刺法