Clinical application observation of evidence-based nursing model in reducing the risk of fistula needle slippage in hemodialysis room
循证护理模式在降低血透室内瘘针滑脱风险中的临床应用观察

摘要

目的 考察分析循证护理模式在降低血透室内瘘（AVF）针滑脱风险中的应用效果。方法 设计一项对比试验，启动期限为2023年9月至2024年9月，纳入样本为本时段院内收治的100例维持性血透患者，按照1∶1比例进行随机分组，每组（n=50）。参照组：行传统内瘘针固定及常规护理，研究组：行循证护理服务模式，最终评价不同干预策略下的疗效作用，对比两组内瘘针滑脱情况、生活质量评分、患者满意度差异。结果 统计学分析后发现，方案不同，所获效果也随之不同，研究组各项指标均显优参照组，P＜0.05，值得探讨。结论 循证护理模式可有效降低血透室内瘘针滑脱风险，提高患者生活质量和满意度，具有临床推广价值。

Abstract

Objective To investigate and analyze the application effect of evidence-based nursing model in reducing the risk of needle slippage in hemodialysis (AVF) fistula.
Methods A comparative experiment was designed with a starting period from September 2023 to September 2024. The sample consisted of 100 maintenance hemodialysis patients admitted to the hospital during this period. They were randomly divided into groups according to a 1:1 ratio, with each group (n=50). Reference group: Traditional fistula needle fixation and routine nursing, research group: Evidence based nursing service model, final evaluation of the therapeutic effect under different intervention strategies, comparing the differences in fistula needle slippage, quality of life score, and patient satisfaction between the two groups.
Results After statistical analysis, it was found that different schemes resulted in different effects, and all indicators of the study group were significantly better than those of the reference group, P＜0.05, Worth exploring.
Conclusion   The evidence-based nursing model can effectively reduce the risk of needle slippage in hemodialysis rooms, improve patients' quality of life and satisfaction, and has clinical promotion value.