基于授权理论的护理措施在初始动脉静脉囊患者的应用
Zhen Ji1, Shuxia Cheng1, Yang Han1
1Hemodialysis Room, Suzhou Kowloon Hospital Shanghai Jiao Tong University School of Medicine, Suzhou 215028, Jiangsu, China.
JPMA. The Journal of the Pakistan Medical Association
|November 17, 2025
概括
基于授权理论的护理措施显著改善了动脉静脉的通透性和患者的自我管理. 这种方法提高了血液透析患者的生活质量,并减少了血液透析患者的并发症.
科学领域:
- 科 护理 护理学
- 血管接入管理系统
- 患者赋权是患者赋权的一种方式.
背景情况:
- 动脉静脉 (AVF) 对于血液透析的准入至关重要.
- 优化AVF护理和患者自我管理对于长期的通透性和患者的结果至关重要.
- 授权理论为赋予患者在医疗保健中的权力提供了一个框架.
研究的目的:
- 评估护理干预措施的有效性,以新的AVF患者的授权理论为基础.
- 为了比较接受标准护理的患者和接受基于授权理论的护理的患者之间的结果.
主要方法:
- 一项前性随机受控研究,涉及76名初始AVF患者.
- 患者被分配到研究小组 (常规护理加上基于授权理论的护理) 或对照组 (常规护理).
- 关键的结果指标包括透率,自我管理能力,情绪状态,生活质量,并发症率和护理满意度.
主要成果:
- 研究小组显示,与对照组相比,内部突通率显著更高.
- 研究小组中的患者表现出明显改善的自我概念,健康认知和自我管理能力.
- 研究小组的焦虑和抑郁水平显著降低,生活质量更高,并发症更少,护理满意度更高.
结论:
- 基于授权理论的护理干预措施有效地提高了初始AVF患者的自我管理.
- 这种理论方法对患者的生活质量产生了积极的影响,并减少了并发症的发生率.
- 基于授权理论的护理是改善AVF患者护理和结果的有价值策略.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
356
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
356
Hemodialysis I: Introduction
1.2K
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
1.2K
Peripheral Artery Disease IV: Nursing Management
325
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
325
Atherosclerosis IV: Nursing Management
351
Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
351
Aneurysm IV: Nursing Management
361
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
361
Cardiac Catheterization IV: Nursing Management
623
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
623


