Effect of staged continuation nursing mode on self-care ability of arteriovenous fistula in hemodialysis patients
10.3760/cma.j.issn.1674-2907.2019.21.016
- VernacularTitle:分阶段延续护理模式在提高血液透析患者动静脉内瘘自我护理能力中的应用
- Author:
Ya'nan DENG
1
;
Jinhong MIAO
;
Xiaohong YUE
;
Xiaoling XUE
;
Ruimin WANG
Author Information
1. 郑州大学第一附属医院血液净化中心
- Keywords:
Hemodialysis;
Staged continuous care;
Self-care
- From:
Chinese Journal of Modern Nursing
2019;25(21):2715-2718
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the effect of staged continuous nursing mode on self-care ability of arteriovenous fistula among hemodialysis patients. Methods? A total of 120 patients with arteriovenous fistula in Blood Purification Center at the First Affiliated Hospital of Zhengzhou University were enrolled in the study by convenience sampling methods from January to December in 2017. Patients were divided into control group and observation group by random numeral table method. The control group received routine nursing and health education. On the basis of these, the observation group was given a phased continuous nursing intervention. The intervention was divided into 3 stages. The Exercise of Self-care Agency Scale (ESCA) was used to evaluate patients before and after the intervention. Complications of arteriovenous fistula were observed and compared in two groups. Results? There was no significant difference in self-concept, knowledge and information seeking, passiveness, motivation, and self-care scores between two groups before intervention. After intervention, the observation group patients' self-concept, knowledge and information seeking, passiveness, motivation, and self-care scores were higher than the control group, and the differences were statistically significant (P＜ 0.05). After intervention, the result of comparing the occurrence of obstruction of internal fistula, thrombosis, infection, and hemorrhage/hematoma in two groups showed that those in control group was higher than observation group with statistical differences (P＜ 0.05). Conclusions? The staged continuous care model improves the self-care ability of arteriovenous fistula among hemodialysis patients, and reduces the occurrence of related complications.
