摘要
目的观察血液透析患者动静脉内瘘自我护理行为现状并分析影响因素。方法随机选择2021年1—12月在福建省三明市第一医院接受血液透析的80例患者的临床资料,以动静脉内瘘自我护理行为调查量表对患者进行充分的调查,以分析影响患者动静脉内瘘自我护理行为的影响因素。结果单因素分析显示:内瘘使用时间、穿刺方式、穿刺位置血管状况、内瘘处皮肤状况是影响血液透析患者动静脉内瘘自我护理状况的危险因素,其中64例穿刺位置血管状况良好者与16例穿刺位置血管状况异常者的自我护理能力评分分别为(67.55±16.73)分和(58.23±10.75)分,差异有统计学意义(t=2.116,P<0.05)。56例内瘘处皮肤状况良好和24例内瘘处皮肤状况异常的自我护理能力分别为(63.98±14.71)分和(56.21±10.11)分,差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,内瘘使用时间、穿刺位置血管状况则是影响血液透析患者动静脉内瘘自我护理状况的独立危险因素,差异有统计学意义(OR=2.812、2.999,P<0.001)。结论血液透析患者动静脉内瘘自我护理行为现状尚可,临床可针对内瘘使用时间、穿刺位置血管状况进行干预。
Objective To observe the current situation of self-care behavior of hemodialysis patients with arteriovenous fistula and analyze the influencing factors.Methods The clinical data of 80 patients who received hemodialysis in Sanming First Hospital during January to December 2021 were randomly selected to be fully investigated with the arteriovenous fistula self-care behavior questionnaire in order to analyze the influencing factors affecting patients'arteriovenous fistula self-care behavior.Results Univariate analysis showed that the duration of fistula use,puncture method,and vascular condition at the puncture site,skin condition at the fistula was a risk factor affecting the self-care status of arteriovenous fistula in hemodialysis patients respectively.The self-care ability scores of 64 patients with good vascular condition at the puncture site versus 16 patients with abnormal vascular condition at the puncture site were(67.55±16.73)points and(58.23±10.75)points,the difference was statistically significant(t=2.116,P<0.05).The self-care ability of 56 patients with good skin condition and 24 patients with abnormal skin condition at internal fistula was(63.98±14.71)points and(56.21±10.11)points respectively,the difference was statistically significant(P<0.05).Multifactorial logistic regression analysis showed that the duration of fistula usage and the condition of the blood vessels at the puncture location were the independent risk factors affecting the self-care status of arteriovenous fistulae in hemodialysis patients,the differences were statistically significant(OR=2.812,2.999,P<0.001).Conclusion The current status of self-care behavior of arteriovenous fistula in hemodialysis patients is still acceptable,and clinical intervention can be carried out for the duration of fistula use and the vascular condition of the puncture location.
作者
黄少花
HUANG Shaohua(Hemodialysis Unit,Sanming First Hospital,Sanming,Fujian Province,365000 China)
出处
《中外医疗》
2023年第35期118-121,共4页
China & Foreign Medical Treatment
关键词
血液透析
动静脉内瘘
自我护理行为
现状
影响因素
Hemodialysis
Arteriovenous fistula
Self-care behavior
Current situation
Influencing factors
