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The Effectiveness of Preventive Nursing Interventions in Patients on Hemodialysis with Arteriovenous Fistulas and Their Value in Preventing Complications.

医学 血液透析 入射(几何) 焦虑 心理干预 随机对照试验 护理干预分类 萧条(经济学) 生活质量(医疗保健) 护理部 物理疗法 内科学 精神科 宏观经济学 经济 物理 光学
作者
Yu Liang,Xinghong Xu
出处
期刊:PubMed
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摘要

To analyze the effectiveness of preventive nursing interventions in patients on hemodialysis with arteriovenous fistulas (AVF) and the value in preventing complications of the AVF.It was a randomized controlled trial that enrolled 60 patients on hemodialysis treated in our hospital from April 2019 to May 2021. All enrollments were divided into control group (n = 30) and study group (n = 30) by random table methods. The control group received conventional nursing methods, while the study group received preventive nursing methods. The incidence of AVF complications, blood flow in the AVF, levels of anxiety and depression, quality of life and nursing satisfaction were assessed and compared.The incidence of AVF complications in the study group after intervention was significantly lower than that in the control group. Blood flow in the AVF was much higher in the study group than in the control group. The anxiety and depression levels of patients in the study group after intervention were both lower than those of patients in the control group. Patients in the study group had a much better quality of life after intervention than those in the control group. The nursing satisfaction of patients in the study group after intervention was also higher than that of patients in the control group. In other words, patients in the study group were more satisfied with the way they had been cared for compared to those in the control group.Preventive nursing interventions are effective in patients on hemodialysis. Not only do they reduce the incidence of AVF complications, they also improve blood flow in the AVF. In addition, they reduce such negative emotions as anxiety and depression, improves the patient's quality of life, as well as his or her satisfaction with care provision.

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