Abstract:

Objective　To explore the application effect of internal fistula special group nursing in patients with arteriovenous fistula pseudoaneurysm. Methods　This was a randomized controlled trial. A total of 60 patients with arteriovenous fistula pseudoaneurysm collected from Lianyungang Hospital of Traditional Chinese Medicine from January 2020 to December 2022 were selected as the research objects, and were divided into two groups according to the random grouping method with 30 patients in each group. In the control group, there were 22 males and 8 females, aged (48.52±10.21) years. In the observation group, there were 21 males and 9 females, aged (49.15±10.16) years. The control group received routine internal fistula nursing, and the observation group received internal fistula special group nursing on the basis. The surgical rate of pseudoaneurysms, size of pseudoaneurysms, number of pseudoaneurysms, and incidence of complications were compared between the two groups after intervention. Independent sample t test and χ² test were used. Results　After intervention, the size of pseudoaneurysms in the observation group was smaller than that in the control group [(2.38±0.72) cm vs. (2.86±0.87) cm], with a statistically significant difference (t=2.328, P=0.023). The number of pseudoaneurysms in the observation group was less than that in the control group [(1.07±0.58) vs. (1.40±0.61)], with a statistically significant difference (t=2.147, P=0.036). There was no statistically significant difference in the surgical rate of pseudoaneurysms between the two groups (P>0.05). The incidence of pseudoaneurysm related complications in the observation group was lower than that in the control group [10.00% (3/30) vs. 33.33% (10/30)], with a statistically significant difference (χ²=4.812, P=0.028). Conclusion　In the face of patients with arteriovenous fistula pseudoaneurysm, taking special group nursing measures for internal fistula can reduce the incidence of complications of pseudoaneurysm, and improve the prognosis in patients with pseudoaneurysm to a certain extent, which is worthy of clinical promotion and adoption.

Key words:

Arteriovenous fistula, Pseudoaneurysm, Internal fistula special group nursing, Complication rate

摘要：

目的　探究内瘘专项小组护理在动静脉内瘘假性动脉瘤患者中的应用效果。方法　本文为随机对照试验，选择2020年1月至2022年12月在连云港市中医院收取的60例动静脉内瘘假性动脉瘤患者作为研究对象，按照随机分组法将其分为对照组和观察组，每组30例。对照组男22例，女8例，年龄（48.52±10.21）岁；观察组男21例，女9例，年龄（49.15±10.16）岁。对照组采用常规内瘘护理，观察组在前者基础上增加内瘘专项小组护理。比较两组患者干预后假性动脉瘤手术率、瘤体大小、瘤体数量、相关并发症发生率。采用独立样本t检验和χ²检验。结果　干预后，观察组患者假性动脉瘤瘤体的大小（2.38±0.72）cm，小于对照组（2.86±0.87）cm，差异有统计学意义（t=2.328，P=0.023）；观察组患者假性动脉瘤瘤体数量（1.07±0.58）个，少于对照组（1.40±0.61）个，差异有统计学意义（t=2.147，P=0.036）；两组患者之间的假性动脉瘤手术率比较，差异无统计学意义（P>0.05）；观察组患者假性动脉瘤相关并发症发生率10.00%（3/30），低于对照组33.33%（10/30），差异有统计学意义（χ²=4.812，P=0.028）。结论　面对患有动静脉内瘘假性动脉瘤患者采取内瘘专项小组护理措施，能降低假性动脉瘤的并发症发生率，同时可在一定程度上改善患者假性动脉瘤预后情况，值得临床大力推广采纳。

关键词:

动静脉内瘘, 假性动脉瘤, 内瘘专项小组护理, 并发症发生率