制定血液透析患者血管通路的护理指引

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英文篇名：Talk about the guidelines for the development of vascular access in hemodialysis patients 作者：梁凯婷 ; 黄树生 英文作者：LIANG Kai-ting;HUANG Shu-sheng;Hemodialysis Room, Shunde Hospital of Guangzhou University of Traditional Chinese Medicine;School of Medicine and Health, Shunde Vocational and Technical College; 关键词：慢性肾衰竭 ; 血液透析 ; 血管通路 ; 动静脉内瘘 ; 护理指引 ; 非透析专科护士 英文关键词：Chronic renal failure;;Hemodialysis;;Vascular access;;Arteriovenous fistula;;Nursing guidance;;Non-professional nurse of hemodialysis 中文刊名：ZGUD 英文刊名：China Modern Medicine 机构：广州中医药大学顺德医院血透室;顺德职业技术学院医药卫生学院; 出版日期：2019-05-18 出版单位：中国当代医药 年：2019 期：v.26;No.537 语种：中文; 页：ZGUD201914066 页数：3 CN：14 ISSN：11-5786/R 分类号：231-233

摘要

正确使用和维护血管通路是护士需要掌握的核心护理内容,向全院护士制定血液透析(HD)患者血管通路的护理相关指引很有必要。目前,中心静脉导管和自体动静脉内瘘是维持性HD治疗尿毒症患者常用的血管通路。指引可根据HD患者的血管通路的分类而制定,①HD中心静脉的换药和管道维护操作指引;②中心静脉留置导管自我护理及卫生宣教的指引;③动静脉内瘘(AVF)的护理指引。护理指引能提高临床护理工作的效率,为治疗提供有力的保障,有效地预防并发症的发生,提高患者的生活质量,最终达到延长患者生存时间的目的。
        Proper use and maintenance of vascular access is a core care content that nurses need to master correctly.It is necessary to provide guidelines for nursing care of vascular access in hemodialysis(HD) patients to nurses in the hospital. Currently, central venous catheters and autologous arteriovenous fistulas are commonly used in uremic patients undergoing maintenance HD. The guidelines can be based on the classification of vascular access in HD patients. One is the guidelines for dressing and maintenance of veins in the HD center, the other is guidelines for self-care and health education for central venous indwelling catheters, and the third is arteriovenous fistula(AVF) guidelines for care.Nursing guidelines can improve the efficiency of clinical nursing work, provide a strong guarantee for treatment, effectively prevent the occurrence of complications, improve the quality of life of patients, and ultimately achieve the purpose of prolonging the survival time of patients.

引文

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