Sousa Clemente Neves, Teles Paulo, Ribeiro Olga Maria Pimenta Lopes, Sousa Rui, Lira Marta Nunes, Delgado Elisabete, Oliveira Debora, Campos Luís, Fernandes Filipa, Moura Sandra Cristina Mendo, Delgado Millena Freire, Sá Tiago Gomes, Teixeira Sílvia Mónica Pereira, Souza Lara Helk, Ribeiro Rita Cássia Helú Mendonça, Oliveira Gabriela Fernanda Neves, Mendonça Ana Elza Oliveira, Ozen Nurten
S Francisco Dialysis Unit, Porto, Portugal.
CINTESIS-Center for Health Technology and Services Research Faculty of Medicine, Porto University, Porto, Portugal.
Ther Apher Dial. 2023 Jun;27(3):394-401. doi: 10.1111/1744-9987.13973. Epub 2023 Feb 8.
The cannulation technique is important for the survival of the arteriovenous access. Choosing the appropriate technique is a complex decision. Such choice must be customized to patients, considering their characteristics, the type of arteriovenous access and the experience of the hemodialysis team. We describe seven items that can help nurses to identify the appropriate cannulation technique: type of arteriovenous access; drainage vein; hygienic self-care profile; experience of the nursing staff in the cannulation technique and nurse-to-patient ratio; hemodialysis treatment method; patient's condition; and patient's decision. Such items can help nurses in decision-making on the "ideal" cannulation technique for each patient.
插管技术对于动静脉通路的存活至关重要。选择合适的技术是一个复杂的决定。这种选择必须根据患者的情况进行定制，要考虑患者的特征、动静脉通路的类型以及血液透析团队的经验。我们描述了七个有助于护士确定合适插管技术的项目：动静脉通路的类型；引流静脉；卫生自我护理情况；护理人员在插管技术方面的经验以及护患比；血液透析治疗方法；患者状况；以及患者的决定。这些项目可以帮助护士针对每位患者做出关于“理想”插管技术的决策。
