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| Effect of comprehensive nursing intervention in maintenance hemodialysis patients combined with arteriovenous fistula |
| LIU Shaobang TIAN Dawei▲ LU Li |
| Department of Nephrology, Dongfeng Hospital Affiliated to Hubei University of Medicine, Hubei Province, Shiyan 442000, China |
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Abstract Objective To investigate the nursing effects of comprehensive nursing intervention on maintenance hemodialysis patients combined with arteriovenous fistula and its prognosis. Methods From March 2015 to May 2017, 110 patients of maintenance hemodialysis combined with arteriovenous fistula admitted to Dongfeng Hospital Affiliated to Hubei University of Medicine were selected as the research objects and divided into the control group and the observation group by random number table, with 55 cases in each group. The control group was given conventional nursing intervention, while the observation group was given comprehensive nursing intervention. The 36-item short form health survey was used to evaluate the physical, cognitive, social, emotional and role functions between the two groups before and after intervention. The total incidence of complications between the two groups was compared. Results Before intervention, there were no statistically significant differences in the scores of physical, cognitive, social, emotional, and role functions in the two groups (P ＞ 0.05); after intervention, the scores above in the two groups were significantly higher than those of before intervention and the scores above in the observation group were significantly higher than those of control group, with statistically significant differences (P ＜ 0.05). The total incidence of complications in the observation group was significantly lower than that of control group, with statistically significant differences (P ＜ 0.05). Conclusion The effect of comprehensive nursing intervention in patients of maintenance hemodialysis combined with arteriovenous fistula is better, which is helpful to improve life quality and prognosis of patients. It is worthy of promotion and application.
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