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[血液透析过程中最常见并发症的护理干预措施:文献综述]

[Nursing interventions for the most frequent complications during hemodialysis procedure: literature review].

作者信息

Nascimento Cristiano Dias, Marques Isaac R

机构信息

Faculdade de Enfermagem da Universidade de Santo Amaro.

出版信息

Rev Bras Enferm. 2005 Nov-Dec;58(6):719-22. doi: 10.1590/s0034-71672005000600017.

Abstract

Hemodialysis procedure has potential complications and nurses must be able to intervent on them. Considering this context, this article aims to describe the most frequent hemodialysis-related complications as well as nursing-related interventions. This bibliographic review consists in LILACS, BDENF and MEDLINE search using pertinent descriptors. Results demonstrated that major complications are: hypotension, hypertension, cramps, nausea and vomiting, headache, chest and low back pain, scratching, fever and shriving. For these complications there are specific nursing interventions that can be delivered. It was concluded that nurse's role is essential for monitoring, identification, and intervention in such complications and that this role also is a differential to obtain quality in hemodialysis procedure. However, there is a need to perform more research in nursing area to better define the nurse's role.

摘要

血液透析程序存在潜在并发症,护士必须能够对其进行干预。考虑到这一背景,本文旨在描述最常见的与血液透析相关的并发症以及与护理相关的干预措施。本文献综述包括使用相关描述符在LILACS、BDENF和MEDLINE中进行检索。结果表明,主要并发症有:低血压、高血压、痉挛、恶心和呕吐、头痛、胸痛和腰痛、瘙痒、发热和寒战。针对这些并发症,有可以实施的特定护理干预措施。得出的结论是,护士的角色对于监测、识别和干预此类并发症至关重要,而且这一角色也是在血液透析程序中获得质量的一个差异点。然而,需要在护理领域进行更多研究,以更好地界定护士的角色。

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