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目的探讨护理经验交流在减少动静脉内瘘穿刺并发症中的应用及效果。方法 2016年3月1日至2016年5月31日,对本中心实行护理经验交流活动前后,统计动静脉内瘘穿刺10000针次,对穿刺并发症进行统计学分析。结论通过多种方法的护理经验,动静脉内瘘每穿刺万针并发症由(420/10000)4.2%降至(200/10000)2%;前后回针次数(146次比52次),二次穿刺次数(104次比40次),血流不佳次数(109次比33次),皮下淤血次数(120次比39次),皮下血肿次数(105次比27次),差异均有统计学意义(P<0.05)。运用经验交流的方法不仅能降低动静脉内瘘穿刺并症的发生率,对提高血透护士的沟通能力、专业能力、责任心、解决问题的能力、自信心、工作积极性方面均有提高。
Objective To explore the application of nursing experience exchange in reducing the complications of arteriovenous fistula puncture. Methods From March 1, 2016 to May 31, 2016, statistics of the puncture complication were statistically analyzed before and after the exchange of nursing experience in our center. Conclusions The nursing experience of various methods showed that the complications of per-needle-puncture of arterio-venous fistula decreased from 4.2% to (200/10000) 2% in (420/10000) (104 vs 40), poor blood flow (109 vs 33), subcutaneous congestion (120 vs 39) and subcutaneous hematoma (105 vs 27), the differences were statistically significant Significance (P <0.05). The method of experiential communication can not only reduce the incidence of arteriovenous fistula puncture syndrome, but also improve the communicative ability, professional ability, responsibility, problem-solving ability, self-confidence and enthusiasm of hemodialysis nurses.