维持性血液透析患者动静脉内瘘两种穿刺法的应用效果

[摘要] Abstract：Objective To observe and compare the effect of two different puncture methods for arteriovenous fistula in maintenance hemodialysis patients, and summarize related the nursing measures. Methods A total of 130 patients undergoing maintenance hemodialysis were collected and divided into blunt needle group(n=30)and sharp needle group(n=100). The Hamilton rating scale for anxiety(MAHA), visual analog scale(VAS)and general quality of life inventory(GQOLI)were adopted, and the complication of arteriovenous fistula were observed and compared between two groups. Results The scores of MAHA and VAS scales were lower in the blunt needle group than those of sharp needle group(P<0.05 or P<0.01), and the GQOLI scale score in the blunt needle group was higher than that sharp needle group(P<0.01). The one-time success rate of puncture was higher in the blunt needle group than those of sharp needle group(P<0.05). The incidence of hemorrhage at puncture site and fistula-related complications were lower in the blunt needle group than those of sharp needle group(P<0.05). Conclusion Using blunt needle puncture method shows better efficacy in establishment of arteriovenous fistula. The nursing cooperative measures are also required to relieve the anxiety status of patients and reduce the risk of fistula-related complications.

[学科分类] 护理学

[关键词] 穿刺法;血液透析;动静脉内瘘;焦虑状态;钝针穿刺;并发症