维持性血液透析患者血管通路维护的标准化护理流程建立及应用效果研究贾秋月王欣

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《实用全科护理学》( ISSN3080-7638、EISSN3080-7646 )

发布者：Quest Press

发布日期：2025/10/19

10.12479/questpress-syqkhlx.20250326

Open Access

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维持性血液透析患者血管通路维护的标准化护理流程建立及应用效果研究

贾秋月王欣

宁夏医科大学总医院，宁夏银川，750001

摘要：目的探讨对临床维持性血液透析患者，开展基于血管通路维护的标准化护理流程模式，研究其建立及应用效果。方法选取介于2023 年6 月—2025 年1 月我院接受维持性血液透析治疗的80 例患者，经过随机数字表法分为2 小组，即：对照组、观察组，分别含40 例，其中对照组实行常规护理模式，观察组实行基于血管通路维护的标准化护理流程模式；分析比照各组之间的并发症、血管通路状态、生活质量的差异性。结果经汇总得出观察组并发症状况数据更低（P<0.05）。观察2 组患者的血管通路状态，显示观察组干预后的血流量、完整程度、阻塞程度、使用寿命评分值均更高（P<0.05）。分组之间生活质量实施比较，观察组干预后获取的数值均更高（P<0.05）。结论对临床维持性血液透析患者，开展基于血管通路维护的标准化护理流程模式，可助益于降低并发症发生率，改善血管通路状态，提高患者生活质量。
关健词：维持性血液透析；血管通路维护；标准化护理流程；护理效果

Study on the establishment and application effect of standardized nursing process for vascular access maintenance in hemodialysis patients

Qiuyue Jia Xin Wang
General Hospital of Ningxia Medical University，Yinchuan, Ningxia，750001，China

Abstract：Objective To explore the implementation of standardized nursing protocols based on vascular access maintenance for clinical hemodialysis patients undergoing long-term treatment, and to evaluate their effectiveness through a randomized controlled trial. Methods A total of 80 hemodialysis patients at our hospital between June 2023 and January 2025 were randomly divided into two groups (control group and observation group), each comprising 40 participants. The control group received standard care protocols while the observation group adopted vascular access maintenance-based standardized nursing procedures. Comparative analyses were conducted to evaluate differences in complication rates, vascular access status, and quality of life (QOL). Results Data analysis showed significantly lower complication rates in the observation group (P<0.05). Interventional evaluations demonstrated improved blood flow efficiency, vascular integrity, blockage severity, and catheter dwell time scores in the observation group (P<0.05). Quality of life assessments revealed higher scores in the observation group post-intervention (P<0.05). Conclusion Implementing vascular access maintenance-based standardized nursing protocols effectively reduces complication rates, enhances vascular access outcomes, and improves patient quality of life for hemodialysis patients undergoing long-term treatment.
Keywords : maintenance hemodialysis； vascular access maintenance； standardized nursing process；nursing effect

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