血液透析临时中心静脉置管术后患者舒适状况的调查研究

发布时间：2018-01-14 17:27

本文关键词：血液透析临时中心静脉置管术后患者舒适状况的调查研究　出处：《重庆医学》2017年15期 　论文类型：期刊论文

【摘要】：目的调查血液透析临时中心静脉置管术后患者的舒适度状况。方法采用方便抽样法,抽取2015年7月至10月在郑州大学第一附属医院进行临时中心静脉置管的74名血液透析患者为研究对象,根据Kolcaba舒适度量表修改为适合血液透析中心静脉置管术后患者的舒适度量表,在术后24h进行问卷调查,对比患者的舒适度情况。结果血液透析临时中心静脉置管患者男性比例较高,以45~61岁,已婚人群多见。患者大多家庭收入在1 000~≤3 000元,医疗付费方式为新农合、医保。患者颈部发病率更高。血液透析临时中心静脉置管术后舒适得分为(61.73±14.49)分,处于中低度水平,各单项平均分显示:患者生理维度最低,其次是精神心理维度,环境维度最高。不同收入情况、医保报销方式及置管部位的患者的舒适度得分比较差异有统计学意义(P0.05)。不同年龄及婚姻状况的患者的心理舒适度得分比较差异有统计学意义(P0.05)。结论临时中心静脉置管术后患者舒适度状况处于中低度水平,应采取有措施改进。
[Abstract]:Objective to investigate the comfort status of patients after temporary central venous catheterization in hemodialysis. From July 2015 to October, 74 hemodialysis patients who underwent temporary central venous catheterization in the first affiliated Hospital of Zhengzhou University were selected as study subjects. According to the Kolcaba comfort scale modified to be suitable for hemodialysis patients after central venous catheterization of comfort scale, 24 hours after the questionnaire survey. Results the proportion of patients with temporary central venous catheterization on hemodialysis was higher than that of male patients (45 to 61 years old). Married people are more common. Most of the patients' family income is between 1000 and less than 3,000 yuan, and the medical payment method is the new rural cooperative. Medical insurance. The cervical incidence was higher. The comfortable score was 61.73 卤14.49 after temporary central venous catheterization for hemodialysis, which was at the middle and low level. The average score of each item showed that the patient's physiological dimension was the lowest, followed by the mental and psychological dimension, and the environmental dimension was the highest. There were significant differences in the scores of comfort between patients with different age and marital status (P < 0.05). (2) there were significant differences in the scores of psychological comfort between patients with different age and marital status (P < 0.05). Conclusion the comfortable degree of patients after temporary central venous catheterization is at the middle and low level. Measures should be taken to improve it.
【作者单位】：郑州大学第一附属医院肾脏病医院;郑州大学第一附属医院护理部;
【分类号】：R473.6
【正文快照】： 良好的血管通路是血液透析能顺利进行的前提,中心静脉导管作为一种临时性血管通路,大量应用于各种需短期和长期透析患者的紧急透析和动静脉内瘘未成熟的过渡期[1]。舒适是指个体身心处于轻松自在、满意、无焦虑、无疼痛的健康、安宁状态时的一种自我感觉[2]。从南丁格尔时期开

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