综合护理干预对老年带Cuff双腔导管透析患者的影响

目的：探讨综合护理干预对老年带Cuff双腔导管透析患者的影响。方法选取2010年8月~2013年10月在本院血透室行规律透析且使用带Cuff双腔导管的老年患者20例，随机分为两组，每组各10例。对照组给予常规护理和一般健康教育，干预组在此基础上给予综合护理干预。对两组患者导管的置入方法、使用情况、并发症及其处理方法进行统计学分析。结果干预组患者透析前血压、心率等体征与入院时比较差异无统计学意义（P＞0.05）；对照组患者透析前血压升高、心率加快，且与干预组患者透析前比较差异有统计学意义（P＜0.05）；两组患者均为1次置管成功，置管成功率为100%，导管留置时间为2.5~13个月。干预组患者心力衰竭、穿刺点感染、肺部感染等并发症发生率明显低于对照组，差异有统计学意义（P＜0.05）；干预结束后干预组患者的生活质量评分均明显优于干预前及对照组干预后（P＜0.05）。结论带Cuff双腔导管对于老年透析患者是一种安全有效的血管通路，通过综合护理干预，可明显减少其并发症，延长了置管时间，减少患者的痛苦，值得临床推广使用。

Impact of comprehensive nursing intervention for the elderly with cuff double lumen catheter dialysis patients

Objective To explore the influence of comprehensive nursing intervention on the elderly with Cuff double lumen catheter in hemodialysis patients. Methods 20 cases of regular routine dialysis and double dacron Cuff set of el-derly patients with double lumen catheter in hemodialysis room in our hospital from August 2010 to October 2013 were selected and randomly divided into two groups,each group of 10 cases,the control group was given routine nursing care and health education,intervention group was treated with comprehensive nursing intervention on the basis of control group.The method,the two groups of patients with catheter use,statistical analysis of complications and its treatment method were analyzed between two groups. Results The blood pressure,heart rate and other symptoms before dialysis and admission in intervention group had no significant difference （P〉0.05）,the blood pressure was rised,heart rate was faster before hemodialysis in control group,compared with before dialysis in intervention group,the difference was statis-tically significant （P〈0.05）.Two groups of patients were successfully once,the catheter success rate was 100%,the catheter indwelling time was 2.5 to 13 months.The puncture point infection,heart failure in patients with lung infection complications in intervention group were significantly lower than those of the control group,the difference was statisti-cally significant （P〈0.05）.The patient’s quality of life scores in intervention group after the intervention were signifi-cantly better than before and the control group after intervention （P〈0.05）. Conclusion The Cuff double cuffed dual lu-men catheter is a safe and effective vascular access for hemodialysis patients,through the comprehensive nursing inter-vention, can significantly reduce the complications,prolong the indwelling time,reduce the pain of patients,it is worthy of clinical use.