مقایسه تاثیر پودر سلوکس و پانسمان فشاری معمول بر زمان هموستاز محل دسترس عروقی بیماران همودیالیز
Publish place: Evidence Based Care Journal، Vol: 4، Issue: 4
Publish Year: 1394
نوع سند: مقاله ژورنالی
زبان: English
View: 334
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شناسه ملی سند علمی:
JR_EBCJ-4-4_003
تاریخ نمایه سازی: 23 مهر 1398
Abstract:
Background: Common measures to stop bleeding can run the risk of clotting and thrombosis due to prolonged application of pressure. Topical homeostatic agents have an important role in decreasing time to hemostasis and consequently prevention of the complications. Aim: the aim of this study was to compare Celox powder and conventional bandage on time to hemostasis in the vascular access site in hemodialysis patients. Methods: This one-group, before-after, clinical-trial was conducted on 30 dialysis patients who had been selected by purposive sampling and underwent hemodialysis through arteriovenous fistula in Imam Reza and Montaserieh hospitals of Mashhad and Modarres hospital of Kashmar in 2013- 2014. The arteriovenous fistula puncture sites were treated with Celox powder dressing in three intermittent weeks. Time to hemostasis in each puncture site was calculated. Data were analyzed by repeated measures, Bonferroni correction, Friedman tests using SPSS version 11.5. Results: The mean age of patients was 54.2 ±14.3, and most of them (53.3 percent) were male. Time to hemostasis in the vascular access sites of patients was 9.8±1.9 minutes. There was a significant difference in the hemostasis time between using 1 gram Celox powder and conventional dressing,(p<0/001). There was also a significant difference in time to hemostasis between utilizing 0.5 gram Celox powder and conventional dressing (p<0/001). Conclusion: Using Celox powder reduces time to hemostasis in vascular access site in hemodialysis patient. Therefore, its use in patients with delayed vascular access site hemostasis is recommended.
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Authors
Hamid Chamanzari
In Structor of Nursing, Department of Medical –Sergical Nursing, School of Nursing and Midwifery ,Mashhad University of Medicine Sciences,Mashhad,Iran
Mahmood Choubdar
MS in Intensive Care Nursing Student, School of Nursing and Midwifery, Mashhad University of Medicine Sciences, Mashhad, Iran
Farzaneh Sharifipour
Assistant Professor of Nephrologist, School of Medicine, Mashhad University of Medicine Sciences, Mashhad, Iran
Hasan Gholami
In Structor of Nursing, Department of Medical –Sergical Nursing, School of Nursing and Midwifery ,Mashhad University of Medicine Sciences,Mashhad,Iran
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