Application of internal jugular vein catheter fixation device in hemodialysis patients with uremia
YANG Na1 ZHOU Xiaoguang2▲ CHEN Yuqian1 HUANG Lifeng1
1.Surgical Care Unit, Beijing Chao-yang Hospital, Capital Medical University, Beijing 100020, China;
2.Department of Urology, Beijing Chao-yang Hospital, Capital Medical University, Beijing 100020, China
Abstract：Objective To investigate the application effect of internal jugular vein catheter fixation device in hemodialysis patients with uremia. Methods Forty-one hemodialysis uremic patients with conventional internal jugular vein catheter fixation from May 2020 to May 2021 in Beijing Chao-yang Hospital, Capital Medical University were selected as the control group, and 45 hemodialysis uremic patients with self-installed internal jugular vein catheter fixation device from June 2021 to June 2022 were selected as the experimental group using convenience sampling method. The differences in puncture point bleeding, catheter displacement, dressing crimping, frequency of change, length of change, and patient satisfaction with hemodialysis uremic patients were compared between the two groups. Results The incidence of puncture point bleeding and catheter displacement in the experimental group were lower than those in the control group, the frequency of catheter fixation device change was less than that in the control group, and the length of change was shorter than that in the control group, and the differences were statistically significant (P＜0.05). There was no statistically significant difference in the rate of dressing crimping between the two groups (P＞0.05). Neck movement, comfort, convenience, and overall satisfaction after catheter fixation were better in the experimental group than those in the control group, and the differences were statistically significant (P＜0.05). Conclusion The application of internal jugular vein catheter fixation device can improve the safety of reinforced catheter fixation, reduce the impact of displacement on the puncture point and improve the satisfaction of clinical use.
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