Effects of nursing intervention based on Donabedian quality theory in blood purification patients undergoing vascular access
10.3760/cma.j.cn115682-20200328-02273
- VernacularTitle:基于Donabedian质量理论的护理干预在行血管通路术的血液净化患者中的应用效果分析
- Author:
Ruimin WANG
1
;
Jinhong MIAO
;
Xiaohong YUE
Author Information
1. 郑州大学第一附属医院血液净化中心，郑州 450000
- Keywords:
Dialysis;
Donabedian quality theory;
Nutritional status;
Complications
- From:
Chinese Journal of Modern Nursing
2020;26(36):5090-5094
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of nursing intervention based on Donabedian quality theory in blood purification patients undergoing vascular access.Methods:From July 2017 to May 2019, convenience sampling was used to select 120 hemodialysis patients undergoing vascular access who were admitted to the First Affiliated Hospital of Zhengzhou University. All patients were divided into control group and observation group with the method of random number table, with 60 cases in each group. Control group carried routine nursing, and observation group implemented nursing intervention based on Donabedian quality theory, both of which were treated for three months. The composition ratio of vascular access, nutritional status before and after nursing intervention, urea clearance index (Kt/V) and urea decline rate (URR) , incidence of recirculation, and incidence of vascular access complications after nursing intervention were compared between two groups.Results:The proportion of central venous catheter access in observation group (10.00%, 6/60) was lower than that in control group (25.00%, 15/60) , and the difference was statistically significant ( P<0.05) . After intervention, the albumin, hemoglobin, and prealbumin levels of two groups were higher than those before intervention, and the albumin, hemoglobin and prealbumin levels of observation group after intervention were higher than those of control group, and the differences were statistically significant ( P<0.05) . After intervention, post-dialysis Kt/V and URR of observation group were higher than those of control group, and the incidence of recirculation (10.00%, 6/60) was lower than that of control group (21.67%, 13/60) , and the incidence of vascular access complications (5.00%, 3/60) was lower than that of control group (16.67%, 10/61) , and the differences were statistically significant ( P<0.05) . Conclusions:Nursing intervention based on Donabedian quality theory applied to blood purification patients undergoing vascular access can improve the nutritional status and coagulation function of patients, reduce the incidence of complications which is worthy of popularization.
