英文摘要 |
This study explored the (1) unusual vascular access puncture, and (2) the reason for puncture failure in End Stage Renal Disease (ESRD) patients. Through the implant of primary nursing care system, we expect to improve puncture failure rate in those patients. The population for f this study is based on existing ESRD patient with regular hemodialysis therapy in our center. We implemented primary nursing care system to every subject. Total follow-up was three months. Results showed that the total rate of puncture failure was improved from 3.44% to 2.94%. Artery access puncture failure improved from 1.05% to 0.98%; puncture failure on vein access improved from 3.73% to 3.03%; and puncture failure of the junior dialysis nurse (first-year) improved from 22.15% tol7.59%. The results of this study show that primary nursing care can help nurses become more familiar with patients' vascular access, and can also reduce the nurse's frustration, as well as decrease the puncture failure rate. Therefore, it can prolong vascular access function. |