Hartig Vicki, Smyth Wendy
Renal Unit, Townsville Health Service District, Queensland, Australia.
J Ren Care. 2009 Sep;35(3):114-9. doi: 10.1111/j.1755-6686.2009.00103.x.
The buttonhole, or constant-site, cannulation technique, although used elsewhere, had not been used in North Queensland, Australia, prior to 2005. This paper reports the results from a survey of patients' and nurses' initial experiences with the buttonhole cannulation technique 20 months after its introduction into a renal service in North Queensland. The use of the buttonhole technique increased the ease and decreased the discomfort associated with access cannulation for both patients and nurses; both groups reported less anxiety associated with this technique. The patients were especially pleased with the improved cosmetic appearance and indicated that they would be more likely to become involved in self-care, including self-cannulation. The nursing service has implemented strategies to ensure that buttonhole cannulation continues to be used as one means of arteriovenous fistula access across the region. A current study is examining longer-term outcomes of using the buttonhole technique within this regional service.
纽扣孔或固定部位动静脉内瘘穿刺技术虽在其他地方有应用，但在2005年之前澳大利亚北昆士兰地区尚未使用。本文报告了一项对患者和护士进行的调查结果，该调查是在纽扣孔穿刺技术引入北昆士兰地区肾脏科服务20个月后，了解他们对该技术的初步体验。纽扣孔技术的使用增加了患者和护士进行内瘘穿刺的便利性，减少了与之相关的不适；两组均表示与该技术相关的焦虑感降低。患者对外观改善尤为满意，并表示他们更有可能参与自我护理，包括自我穿刺。护理服务部门已实施相关策略，以确保纽扣孔穿刺技术继续作为该地区动静脉内瘘通路的一种方式使用。目前正在进行一项研究，以考察在该地区服务中使用纽扣孔技术的长期效果。
