以人文关怀为依托的延续性护理对动静脉内瘘术病人居家休养的干预效果观察

目的分析以人文关怀为依托的延续性护理对动静脉内瘘术（AVF）病人居家休养的干预效果。方法对照组30例，给予常规护理干预；观察组30例，在常规护理干预基础上给予以人文关怀为依托的延续性护理。干预2个月后，比较2组居家期间自我管理能力、内瘘相关知识掌握情况、负性情绪及内瘘初期失功情况。结果观察组焦虑自评量表、抑郁自评量表评分显著低于对照组（P < 0.01），内瘘震颤弱、血肿/渗血发生率均低于对照组（P < 0.05），并发症管理、疾病监测、饮食管理、用药依从性和操作技术评分均高于对照组（P < 0.05~P < 0.01）。结论在常规护理基础上实施以人文关怀为依托的延续性护理，可以显著提高AVF病人的内瘘相关知识掌握程度以及居家期间的自我管理能力，缓解病人的负性情绪，减少内瘘初期失功的发生，值得临床重视。

Observation on the effect of continuous nursing based on humanistic care on home recuperation of patients undergoing arteriovenous internal fistula

ObjectiveTo analyze the intervention effect of humanistic care-based continuous nursing on patients with arteriovenous internal fistula at home.MethodsThirty patients in the control group were given routine nursing intervention, and 30 patients in the observation group were given humanistic care-based continuous nursing on the basis of routine nursing intervention.After 2 months of intervention, the self-management ability, internal fistula related knowledge acquisition status, negative emotion and the loss of function in the initial stage of internal fistula were compared between the two groups.ResultsThe score of self-rating anxiety scale and self-rating depression scale in the observation group were significantly lower than control group(P < 0.01).The incidence rate of weak internal fistula tremor and hematoma/bleeding in the observation group were lower than those in the control group(P < 0.05).Complications management, disease surveillance, diet management, the score of medication compliance and operation technique in the observation group were higher than those in the control group(P < 0.05 to P < 0.01).ConclusionsOn the basis of routine nursing, the implementation of continuous nursing based on humanistic care can significantly improve the internal fistula related knowledge acquisition and self-management ability at home for patients with arteriovenous internal fistula, relieve their negative emotion, reduce the occurrence of loss of function in the initial stage, which is worthy of clinical attention.