Observation on the effect of hemostatic air cushion with exhaust regulating valve in patients with arteriovenous internal fistula / 中国实用护理杂志

ABSTRACT

Objective:To evaluate the clinical effect of hemostatic air cushion with exhaust control valve for compression hemostasis after hemodialysis.Methods:From May to October 2019, 50 patients with autogenous arteriovenous fistula who underwent regular hemodialysis in the blood purification center of the first hospital of Jilin University were selected and randomly divided into two groups. After dialysis, self-made hemostatic air cushion with exhaust adjustment (experimental group) and gauze block compression hemostasis (control group), 25 cases in each group. The complete hemostasis time, compression displacement, bleeding, hematoma incidence and the convenience of single hand operation were compared between the two groups.Results:The complete hemostasis time of the control group was (36.37±2.12) min, and that of the experimental group was (20.52±3.65) min, the difference was statistically significant ( t value was 83.695, P<0.01). The incidence of displacement, hemorrhage and hematoma in the control group were 5.20% (26/500), 13.60% (68/500) and 3.00% (15/500) respectively, and those in the experimental group were 0, 8.20% (41/500) and 0 respectively, and the differences between the two groups were statistically significant ( χ2 value was 7.506, P<0.01). The one hand operation rate of the control group was 44.00% (220/500), and that of the experimental group was 98.00% (490/500). The difference between the two groups was statistically significant ( χ2 value was 354.055, P<0.01). Conclusions:The hemostatic air cushion with exhaust regulating valve is applied to patients with autogenous arteriovenous fistula after needle extraction, which has good hemostatic effect, simple and convenient operation, and is worthy of clinical promotion.