Effect of tracking care in continuous quality improvement of vascular access in hemodialysis patients
全程跟踪护理在血液透析患者血管通路持续质量改进中的效果观察

摘要

目的 探究全程跟踪护理在血液透析患者血管通路持续性质量改进中的作用效果。方法 随机抽选出在本院接受血液透析治疗的患者作为研究对象（时间范围：2022年10月~2023年10月）。从中抽选出80例患者，按照简单抽样法将其分为对照组、观察组，每组40例。对照组采取常规护理服务，而观察组则展开全程跟踪护理，比较2组血液透析患者凝血指标、血管通路再循环率以及相关并发症发生率。结果 两组血液透析患者干预前aPTT、PT、Fbg等凝血功能指标对比均无统计学意义:P＞0.05；护理干预后，观察组血液透析患者各项凝血功能指标改善程度明显优于对照组，差异性对比结果（P＜0.05）；护理后，观察组患者的并发症发生率明显更低，和对照组相比较（P＜0.05）。观察组血液透析患者护理后血尿素氮再循环率、血肌酐再循环率均低于对照组：P＜0.05。结论 对血液透析患者实施全程跟踪护理，有利于持续性动态规范管理，维持良好的血液透析血管通路护理效果，提升血液透析患者的护理服务质量，保证透析充分性，减少相关并发症的发生。

Abstract

Objective To explore the effect of whole-process tracking care in the continuous quality improvement of vascular access in hemodialysis patients.
Methods Patients receiving hemodialysis treatment in our hospital were randomly selected as the study object (time range: October 2022 to October 2023). From them, 80 patients were selected and divided into the control group and the observation group according to the simple sampling method, with 40 cases in each group. The control group provided routine care services, while the observation group carried out whole-process follow-up care to compare the coagulation index, vascular access recirculation rate and the incidence of related complications in the two hemodialysis patients.
Results The comparison of aPTT, PT and Fbg in the two groups was not significant: P> 0.05; after nursing intervention, the improvement of hemodialysis patients in the observation group was significantly better than that of the control group, and the difference results (P <0.05); after nursing, the rate of complications in the observation group was significantly lower compared with that of the control group (P <0.05). The blood urea nitrogen recycling rate and blood creatinine recycling rate in the observation group were lower than that of the control group: P <0.05.
Conclusion   The whole-process follow-up nursing of hemodialysis patients is conducive to continuous dynamic and standardized management, maintaining good hemodialysis vascular access nursing effect, improving the nursing service quality of hemodialysis patients, ensuring the adequacy of dialysis, and reducing the occurrence of related complications.