1、全程跟踪护理对于维持性血液透析患者血管通路再循环率及并发症发生率的作用探讨 115健 康 科 学医 学 实 践全程跟踪护理对于维持性血液透析患者血管通路再循环率及并发症发生率的作用探讨石丽燕辽宁电力中心医院肾病医院 第一透析室，辽宁沈阳110001摘 要：目 的 探究全程跟踪护理在维持性血液透析（MHD）患者中的应用效果。方法 选择2018年3月-2020年3月在本院进行MHD治疗的200例患者，其中100例患者实施全程跟踪护理（观察组），另100例患者则采取常规护理（对照组），对比其护理效果，即UN再循环率及Scr再循环率、并发症发生率、护理的满意率以及活化部分凝血活酶时间（aPTT）、凝血
2、酶原时间（PT）、纤维蛋白原（Fbg）凝血指标水平。结果 经过护理后，观察组患者的BUN再循环率及Scr再循环率均明显小于对照组差异有统计学意义（P0.05）；观察组并发症发生率（28.0%）明显低于对照组（32.0%），差异有统计学意义（P0.05）；此外，观察组对全程跟踪护理的满意率（95.0%）明显高于对照组对常规护理的满意度（86.0%），差异有统计学意义（P0.05）。干预后两组患者的aPTT、PT提升，Fbg下降，且观察组指标提升与下降幅度大于对照组（P0.05）。结论 在MHD患者的治疗过程中实施全程跟踪护理模式，可显著改善患者的凝血功能指标，进而提升患者的治疗安全性及护理满意度
3、，具有显著的应用价值。关键词：维持性血液透析；全程跟踪护理；血管通路再循环率；并发症；凝血功能DOI:10.19335/ki.2096-1219.2022.33.026 Effect Discussion of Whole Process Follow-Up Nursing on Vascular Access Recirculation Rate and Complication Incidence of Maintenance Hemodialysis PatientsSHI LiyanThe First Dialysis Room,Liaoning Electric Power Cent
4、ral Hospital Nephropathy Hospital,Shenyang,Liaoning,110001ABSTRACT：Objective To explore application effect of whole process follow-up nursing for maintenance hemodialysis(MHD)patients.Methods The paper chose 200 patients treated with MHD in our hospital from March 2018 to March 2020.Among them,100 c
5、ases were treated with whole process follow-up nursing(observation group),and the other 100 cases with routine nursing(control group).Nursing effect was compared between groups,namely,UN recycling rate and Scr recycling rate,complication rate,nursing satisfaction degree,activated partial thromboplas
6、tin time(aPTT),prothrombin time(PT)Fibrinogen(Fbg)coagulation index level.Results After nursing,BUN recycling rate and Scr recycling rate in observation group was significantly lower than control group(P0.05);complications incidence in observation group(28.0%)was significantly lower than control gro
7、up(32.0%),with statistically significant difference(P0.05);in addition,satisfaction degree of observation group(95.0%)with whole process follow-up nursing was significantly higher than control group(86.0%),with statistically significant difference(P0.05).After intervention,aPTT and PT of two groups
8、increased,Fbg decreased,indexes increased and decreased in observation group were more than control group(P0.05).Conclusion Whole process tracking nursing mode can improve the coagulation function indicators significantly in treatment of MHD patients,and enhance their treatment safety and nursing satisfaction degree,with significant application value.KEYWORDS：Maintenance hemodialysis;Whole process follow-up nursing;Vascular access recirculation rate;Complications;Coagulation function作者简介：石丽燕，女，山西临汾，主管护师，研究方向：血液净化患者的护理。
