护理学报 ›› 2019, Vol. 26 ›› Issue (14): 38-42.doi: 10.16460/j.issn1008-9969.2019.14.038
血液透析患者动静脉瘘穿刺疼痛影响因素及干预研究进展
梁月1, 王东梅2a, 徐金涛2b
- 1.黑龙江中医药大学,黑龙江 哈尔滨 150040;
2.黑龙江中医药大学附属第一医院 a.护理部;b.血液透析室, 黑龙江 哈尔滨 150040
摘要： 目的 总结影响血液透析患者动静脉瘘穿刺疼痛的影响因素,并分析减轻疼痛干预措施。方法 通过检索国内外透析患者动静脉瘘穿刺疼痛的相关文献,归纳关于透析患者动静脉瘘穿刺疼痛的影响因素及措施。结果 动静脉瘘穿刺疼痛的影响因素包括性别、年龄、透析持续时间、个体心理因素、穿刺工具、穿刺方式,减轻疼痛干预措施包括利多卡因、山金车软膏、冷冻疗法、薰衣草芳香疗法、放松式疗法。结论 患者动静脉瘘穿刺疼痛受性别、年龄、心理、穿刺方式等影响,缓解患者动静脉瘘穿刺疼痛的措施仍存在过敏、皮疹、皮肤血管损伤等不良反应,而冷冻疗法对于体质虚弱的患者不宜使用。建议在后续研究中结合患者年龄、透析持续时间及穿刺角度等相关因素制定针对性护理措施。
中图分类号:
- R473.55
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