维持性血液透析患者自体动静脉内瘘并发症自我管理现状及影响因素分析

Abstract
Figure/Table
References (27)
Related Citation (15)

Download: PDF (703 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To understand the current status of self-management of autologous arteriovenous fistula (AVF) complications in maintenance hemodialysis (MHD) patients, and to explore its influencing factors. Methods A self-designed general information questionnaire and AVF complications self-management scale were used to conduct a cross-sectional survey of 182 MHD patients undergoing dialysis treatment in Hemodialysis Center, West China Hospital Sichuan University from January to April 2020. Results In this study, a total of 182 questionnaires were distributed and 182 were recovered, with a recovery rate of 100%, while a total of 181 valid questionnaires with an effective rate of 99.5%. There were statistically significant differences between the AVF complication self-management scores of patients with MHD with different ages, medical payment methods, self-checking of internal fistulas frequency and blood pressure monitoring frequency(P ＜ 0.05). The total score for self-management of AVF complications in MHD patients was (63.13±6.64) points; the lowest score dimension was the prevention score of complications (11.14±1.90) points. Multiple linear regression analysis showed that self-checking of internal fistula frequency and blood pressure monitoring frequency were influencing factors for self-management of AVF complications in MHD patients (P ＜ 0.01). Conclusion The self-management of AVF complications in MHD patients is generally at an intermediate to low level. In clinical practice, attention should be paid to whether patients self-check for internal fistula abnormalities and whether to monitor blood pressure changes every day. Targeted interventions should be taken to improve the level and maintenance of self-management of AVF complications in MHD patients, and the vascular access function should be keep intact.

Key words： Maintenance hemodialysis Arteriovenous fistula Self-management Complication Influence factors

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	XUE Guifang YANG Yujie YUAN Huaihong ZHANG Yingjun MA Dengyan

Cite this article:

XUE Guifang YANG Yujie YUAN Huaihong ZHANG Yingjun MA Dengyan. Current status and influencing factors of self-management of autologous arteriovenous fistula complications in maintenance hemodialysis patients[J]. 中国医药导报, 2020, 17(33): 74-77,89.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I33/74

[1] Vascular Access 2006 Work Group. NKF-KDOQI Clinical practice guidelines for vascular access [J]. Am J Kidney Dis，2006，48（Suppl 1）：176-247.
[2] 金其庄，王玉柱，叶朝阳，等.中国血液透析用血管通路专家共识（第2版）[J].中国血液净化，2019，18（6）：365-381.
[3] Rivara MB，Soohoo M，Streja E，et al. Association of Vascular Access Type with Mortality，Hospitalization，and Transfer to In-Center Hemodialysis in Patients Undergoing Home Hemodialysis [J]. Clin J Am Soc Nephrol，2016， 11（2）：298-307.
[4] Ravani P，Quinn R，Oliver M，et al. Examining the Association between Hemodialysis Access Type and Mortality： The Role of Access Complications [J]. Clin J Am Soc Nephrol，2017，12（6）：955-964.
[5] Kukita K，Ohira S，Amano I，et al. 2011 update Japanese Society for Dialysis Therapy Guidelines of Vascular Access Construction and Repair for Chronic Hemodialysis [J]. Ther Apher Dial，2015，19（Supp l）：1-39.
[6] 姜惠丽.维持性血液透析患者自体动静脉内瘘自我管理量表的编制[D].济南：山东大学，2019.
[7] Yang MM，Zhao HH，Ding XQ，et al. Self-Care Behavior of Hemodialysis Patients With Arteriovenous Fistula in China： A Multicenter，Cross-Sectional Study [J]. Ther Apher Dial，2019，23（2）：167-172.
[8] Sousa CN，Marujo P，Teles P，et al. Self-Care on Hemodialysis： Behaviors With the Arteriovenous Fistula [J]. Ther Apher Dial，2017，21（2）：195-199.
[9] Hamadah AM. Attitudes and perceived barriers toward arteriovenous fistula creation and use in hemodialysis patients in Jordan [J]. Saudi J Kidney Dis Transpl，2019，30（4）：905-912.
[10] 邓亚楠，苗金红，岳晓红，等.分阶段延续护理模式在提高血液透析患者动静脉内瘘自我护理能力中的应用[J].中华现代护理杂志，2019（21）：2715-2718.
[11] 邵艳秋，孔敏，王前，等.血液透析患者动静脉内瘘失功风险因素预处理体系的应用研究[J].中华现代护理杂志，2016，22（35）：5083-5087.
[12] 彭艳，王云燕，傅丽丽.内瘘侧肢体行为规范的建立对维持性血液透析患者内瘘并发症的影响[J].中国血液净化，2017，16（10）：706-710.
[13] 张仲华，鄢建军，童辉，等.维持性血液透析患者自体动静脉内瘘维护的研究进展[J].护理学杂志，2016，31（15）：107-110.
[14] 文雪仙，郭宝春，邱晶，等.维持性血液透析患者动静脉内瘘失功的原因分析与护理干预[J].护理实践与研究，2019，16（10）：35-37.
[15] 廖琪，熊艳，蒋秋艳，等.阿替普酶与瑞替普酶在动静脉内瘘溶栓治疗中的对比分析[J].中国血液净化，2018， 17（9）：629-632.
[16] 卢元，胡晓舟，张瑾，等.郑州市维持性血液透析患者高血压患病情况及其影响因素[J].广东医学，2015，36（19）：3036-3038.
[17] 李倩倩，朱亚梅，刘云，等.维持性血液透析患者的居家血压变异度及影响因素[J].医学研究生学报，2018，31（5）：516-520.
[18] Chang TI，Paik J，Greene T，et al. Intradialytic hypotension and vascular access thrombosis [J]. J Am Soc Nephrol，2011，22（8）：1526-1533.
[19] 杨玲，刘斌，于俊超，等.维持性血液透析患者自体动静脉内瘘血栓影响因素观察[J].临床肾脏病杂志，2016， 16（2）：96-99.
[20] 黄宇静，伍锦泉，黄力，等.血液透析（HD）患者血管钙化（VC）程度与动静脉内瘘（AVF）失功的关系[J].中国现代医生，2019，57（27）：25-28.
[21] 张雅丽.血液透析患者动静脉内瘘使用中失功的原因分析及临床护理效果观察[J].实用临床护理学电子杂志，2018，3（45）：95，106.
[22] 韦小红，冯绍华，韦昭华，等.维持性血液透析自体动静脉内瘘失功的主要因素分析[J].广西医学，2015，37（6）：848-849，854.
[23] Pandey S，Kumar M，Agrawal M，et al. The effects of preoperative blood pressure on early failure rate of distal arteriovenous fistulas for hemodialysis access [J]. Hemodial Int，2019，23（3）：314-318.
[24] 文雪仙.维持性血液透析患者动静脉内瘘失功的护理探讨[J].中国医药科学，2019，9（14）：105-107.
[25] 李子芊，周亦伦.维持性血液透析患者血压变异与心血管疾病研究进展[J].中国血液净化，2015，14（2）：116-119.
[26] Flythe JE，Inrig JK，Shafi T，et al. Association of intradialytic blood pressure variability with increased all-cause and cardiovascular mortality in patients treated with long-term hemodialysis [J]. Am J Kidney Dis，2013，61：966-974.
[27] Wu C，Shlipak MG，Stawski RS，et al. Visit-to-visit blood pressure variability and mortality and cardiovascular outcomes among older adults：the health，aging，and body composition study [J]. Am J Hypertens，2017，30（2）：151-158.