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目的:比较钝针扣眼法穿刺和锐针绳梯穿刺法的临床效果及护理结果。方法:筛选2017年1月-2017年8月期间长期在我院通过血液透析治疗的老年患者50例,按照随机数表将所有患者分为实验组和对照组两个组别,每组25例患者。对照组患者采用锐针绳梯法穿刺,实验组患者采用钝针扣眼法传次,其余护理方法相同,观察两组患者一次穿刺成功率、渗血情况以及出现透析并发症情况等临床指标和焦虑程度、疼痛程度、生活质量和护理满意度等心理指标。结果:实验组患者的一次穿刺成功率显著高于对照组,而渗血和透析并发症出现比率显著低于对照组,结果具有统计学意义(P<0.05);两组患者经过治疗后心理指标均显著好于治疗前(P<0.05),治疗后的实验组患者MAHA、VAS评估值较低,GQOLI量表评估值较高,差异具有统计学意义(P<0.05);通过满意度调查问卷结果实验组患者满意度显著高于对照组(P<0.05)。结论:对维持性血液透析的老年人来说采用钝针扣眼穿刺可提高穿刺成功率,减少并发症,并且减低患者疼痛程度和焦虑程度,提高患者生活质量和护理满意度,值得在临床推广。
OBJECTIVE: To compare the clinical effects and nursing outcomes of obturator needle eye puncture and sharp needle ladder laparotomy. Methods: 50 elderly patients who were treated by hemodialysis in our hospital from January 2017 to August 2017 were selected. According to the random number table, all patients were divided into experimental group and control group, with 25 cases in each group patient. Patients in the control group were treated with sharp-needle rope ladder method. The patients in the experimental group were treated with blunt pinhole method and the other nursing methods were the same. The clinical indexes such as the success rate of primary puncture and the bleeding and the complication of dialysis were observed in two groups. , Pain level, quality of life and satisfaction with nursing and other psychological indicators. Results: The successful rate of primary puncture in experimental group was significantly higher than that in control group, while the incidence of bleeding and dialysis complications was significantly lower than that in control group (P <0.05). After treatment, the psychological indicators (P <0.05). The MAHA and VAS scores in the experimental group were lower and the GQOLI scale was higher in the experimental group after treatment (P <0.05). Satisfaction questionnaire Results The satisfaction degree of experimental group was significantly higher than that of control group (P <0.05). Conclusion: The use of blunt-pinhole eye puncture in elderly patients with maintenance hemodialysis can improve the puncture success rate, reduce complications, and reduce the degree of pain and anxiety, improve patient quality of life and nursing satisfaction, which is worthy of clinical promotion.