The action research of patients self -maintenance compliance for central venous catheter with dacron cuff
10.3760/cma.j.issn.1008-6706.2016.13.010
- VernacularTitle:维持性血液透析患者带涤纶套中心静脉导管自我管理依从性的行动研究
- Author:
Chengbo HONG
;
Rui JIANG
;
Xiaobo YAO
;
Liuliu CHEN
- Publication Type:Journal Article
- Keywords:
Renal dialysis;
Cuff catheter;
Catheter dysfunction;
Action research
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(13):1955-1958,1959
- CountryChina
- Language:Chinese
-
Abstract:
Objective To formulate a practical nursing education project,improving hemodialysis patients'self -maintenance compliance for central venous catheter with dacron cuff and reducing patients'catheter dysfunction rate.Methods 17 patients with hemodialysis who newly had the central venous catheter with dacron cuff from March 2014 to October 2014 in our hospital,were selected and carried out a guidance of daily maintenance according to Lewin's action research theory.Four steps including plan,action,study and reflection were done spirally.The feasibility and validity of the nursing education project were evaluated by assessing the patients'catheter self maintenance com-pliance,and counted up the catheter dysfunction rate within 12 months.Results The action research practice was conducted for 8 weeks,and included 3 rounds circulation.According to the nursing education team's management method,with the improved education method and adjusted education schedule,refined nursing process,family support system and multi -disciplinary coordination,the knowledge of self -maintenance of the hemodialysis patients were improved,and increased the compliance,reduced the dysfunction rate.Conclusion The dialysis catheter nursing education project of this study has been modified and perfected according to the practice of action research,which could improve patients'self maintenance compliance and effectively reduce catheter dysfunction rate.
