Bai Yu-Ling, Hung Shih-Yuan, Chiou Chou-Ping
Department of Nursing, Chung Hwa University of Medical Technology, Taiwan, ROC.
Division of Nephrology, E-DA Hospital, Taiwan, ROC.
Hu Li Za Zhi. 2014 Feb;61(1):93-8. doi: 10.6224/JN.61.1.93.
Appropriate management and care of vascular access are very important to hemodialysis patient care. Access is the cornerstone of hemodialysis therapy. Vascular access with good function and few complications not only promotes hemodialysis therapy success but also facilitates the ability of patients to restore normalcy to life. Proper vascular access maintenance requires good cooperation between medical care personnel and patients. Nurses are responsible to apply their professional knowledge and technology in clinical practice and educate and encourage patients to take care of themselves. Patients are responsible to apply learned self-care knowledge to their daily life. Such cooperation is essential to enhancing the effectiveness of comprehensive care. This article provides an overview of vascular access issues in hemodialysis therapy, including related nursing assessment, management, and proper cannulation procedures. Enhancing patient self-care abilities and working together with patients on proper vascular access care can prolong vascular access site viability.
对血管通路进行恰当的管理和护理对于血液透析患者的护理非常重要。通路是血液透析治疗的基石。功能良好且并发症少的血管通路不仅能促进血液透析治疗的成功，还能使患者恢复正常生活的能力。恰当的血管通路维护需要医护人员与患者之间良好的合作。护士有责任在临床实践中运用专业知识和技术，并教育和鼓励患者进行自我护理。患者有责任将所学的自我护理知识应用到日常生活中。这种合作对于提高综合护理的效果至关重要。本文概述了血液透析治疗中的血管通路问题，包括相关的护理评估、管理以及正确的插管程序。提高患者的自我护理能力，并与患者共同做好血管通路护理工作，可以延长血管通路部位的使用寿命。
