摘要
目的探讨基于根本原因分析法的专项小组干预对血液透析患者动静脉内瘘并发症的预防作用。方法选取2023年1—12月于宁德师范学院附属宁德市医院接受血液透析治疗的98例患者,采用随机数字表法分组,每组49例。对照组施以常规护理,实验组施以根本原因分析法的专项小组式干预。比较两组并发症发生率、生命质量[肾脏疾病与透析特异性评估量表(kidney disease and dialysis targeted assessment,KDTA)、简明健康状况调查量表36(36-item short form health survey,SF-36)]、护理满意度。结果实验组并发症发生率低于对照组(P<0.05)。干预3个月后,两组KDTA、SF-36评分均高于干预前,且实验组高于对照组(P<0.05)。实验组护理满意度高于对照组(P<0.05)。结论根本原因分析法的专项小组干预能有效预防动静脉内瘘并发症发生,可改善血液透析患者生命质量,并提高患者护理满意度。
Objective To explore the preventive effect of root cause analysis guided special group intervention on arteriovenous fistula complications in hemodialysis patients.Methods A total of 98 patients who underwent hemodialysis treatment at Ningde Hospital,Ningde Normal University,Ningde Normal University from January to December 2023 were enrolled,they were divided into the two groups using the random number table method,with 49 cases in each group.The control group was administered conventional nursing,and the experimental group was administered special group intervention based on root cause analysis.The complication rate,quality of life(kidney disease and dialysis targeted assessment[KDTA],36-item short form health survey[SF-36])and nursing satisfaction were compared between the two groups.Results The complication rate in the experimental group was lower than that in the control group(P<0.05).After 3 months of intervention,the scores of KDTA and SF-36 of the two groups were higher than those before the intervention,and the experimental group was higher the control group(P<0.05).The nursing satisfaction in the experimental group was higher than that in the control group(P<0.05).Conclusion Special group intervention based on root cause analysis can effectively prevent the occurrence of arteriovenous fistula complications,improve the quality of life of hemodialysis patients,and enhance patients'nursing satisfaction.
作者
陈霄
蔡艳菊
刘梦滢
陆丽娜
CHEN Xiao;CAI Yanju;LIU Mengying;LU Lina(Hemodialysis Room,Ningde Hospital,Ningde Normal University,Ningde,Fujian,352100,China)
出处
《当代医学》
2025年第14期183-186,共4页
Contemporary Medicine
