精细化护理对糖尿病肾病透析患者自体动静脉内瘘维护效果的影响

Effect of Refined Nursing on Maintenance of Autogenous Arteriovenous Fistula in Dialysis Patients with Diabetes Nephropathy

摘要: 目的：探究糖尿病肾病透析患者应用精细化护理的效果。方法：将我院自2024.1~2025.5收治的82例糖尿病肾病透析患者纳入研究。应用奇偶分组法均分为精细化组(n = 41)、基础组(n = 41)。基础组给予基础护理，精细化组在此基础上加用精细化护理。比较两组的自体动静脉内瘘维护知识掌握水平、自我护理能力、并发症发生情况。结果：精细化组自体动静脉内瘘维护知识掌握水平高于基础组(P < 0.05)；精细化组自我护理能力高于基础组(P < 0.05)；精细化组并发症发生情况少于基础组(P < 0.05)。结论：精细化护理能够改善糖尿病肾病透析患者的自体动静脉内瘘维护知识掌握水平，提高自我护理能力，并降低并发症的发生率。

Abstract: Objective: To explore the effect of fine nursing on dialysis patients with diabetes nephropathy. Methods: 82 dialysis patients with diabetes nephropathy admitted from 2024.1 to 2025.5 in our hospital were included in the study. Using the parity grouping method, the subjects were divided into a refined group (n = 41) and a basic group (n = 41). The basic group receives basic care, while the refined group receives additional refined care on this basis. The level of knowledge, self-care ability, and incidence of complications in the maintenance of autogenous arteriovenous fistula between two groups were compared. Result: The level of knowledge on maintenance of arteriovenous fistula in the refined group was higher than that in the basic group (P < 0.05); the self-care ability of the refined group was higher than that of the basic group (P < 0.05); the incidence of complications in the refined group was lower than that in the basic group (P < 0.05). Conclusion: Fine nursing can improve the level of autogenous arteriovenous fistula maintenance knowledge of dialysis patients with diabetes nephropathy, improve the ability of self-care, and reduce complications.