Abstract
In order to investigate the impact of holistic care on line coagulation and safety in hemodialysis and to address limitations of the conventional ultrasound flow vector imaging (VFM) technique, which requires proprietary software to acquire raw Doppler and scatter tracking data, a combined deep-learning-enabled holistic care approach to line coagulation in hemodialysis is proposed. First, velocity along the direction of the sound beam, which is provided by the color Doppler echocardiogram, is obtained as the radial velocity component using a velocity scale. Moreover, the left ventricular wall contour is automatically identified using a U-Net network and the left ventricular wall velocity is calculated as the boundary condition of continuity equation by a retrained PWC-Net model. Likewise, the velocity component of each blood mass in the vertical direction of the sound beam is obtained by solving the continuity equation (i.e. tangential velocity component). Finally, the velocity vector map of cardiac flow field was synthesized and visualized in the flow diagram. For this purpose, sixty patients admitted to receive hemodialysis from February 2019 to June 2020 were randomly divided into two groups of 30 patients where the control group implemented conventional care and the study group implemented all-round care on the basis of conventional care. The nursing effects of both groups were compared. Incidence of pipeline coagulation and complications in the study group were lower than those in the control group and the difference was statistically significant (P < 0.05). The nursing detail score, nursing attitude score, nursing professionalism score, and total satisfaction score in the study group were higher than those in the control group and the difference was statistically significant (P < 0.05). Applying all-round nursing in hemodialysis can effectively reduce the incidence of line coagulation complications and improve the safety of hemodialysis, as well as improve patients' satisfaction with nursing care.
Highlights
Hemodialysis is among the main protocol for clinical treatment of uremia, which is mainly used to remove the patient's organism. e main purpose of hemodialysis is to correct the water-electrolyte and acid-base balance of the patient by removing the retained substances to maintain the normal metabolism of the body, improve the quality of survival, and prolong the survival period of the patient [1]. e treatment process of hemodialysis is complex, and if care is not appropriate, it is very easy to produce safety risks
Due to the influence of many factors, line coagulation is more common in hemodialysis, and if line coagulation or other safety risks occur, it will reduce the quality of hemodialysis treatment, and threaten the life safety of patients [2]. erefore, in hemodialysis care, it is important to prevent line coagulation and improve dialysis safety
As a nursing model that emphasizes all aspects of care, comprehensive care has been widely used in hemodialysis patients in recent years, and its nursing effect has been recognized by many medical practitioners [3]
Summary
Hemodialysis is among the main protocol for clinical treatment of uremia, which is mainly used to remove the patient's organism. e main purpose of hemodialysis is to correct the water-electrolyte and acid-base balance of the patient by removing the retained substances to maintain the normal metabolism of the body, improve the quality of survival, and prolong the survival period of the patient [1]. e treatment process of hemodialysis is complex, and if care is not appropriate, it is very easy to produce safety risks. Hemodialysis is among the main protocol for clinical treatment of uremia, which is mainly used to remove the patient's organism. E treatment process of hemodialysis is complex, and if care is not appropriate, it is very easy to produce safety risks. Due to the influence of many factors, line coagulation is more common in hemodialysis, and if line coagulation or other safety risks occur, it will reduce the quality of hemodialysis treatment, and threaten the life safety of patients [2]. Conventional care in the past could not take into account all aspects of the patient, which increased the safety risks of hemodialysis to a certain extent.
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