居家透析者发生细菌性腹膜炎的相关因素分析

Analysis on Related Factors of Home CAPD Patients' Bacterial Peritonitis

对３３ 例持续性不卧床腹膜透析（ＣＡＰＤ）者居家透析情况作了１ 年的科研调查，研究腹透相关性细菌性腹膜炎的家庭内影响因素及相应的护理干预的效果。结果①家庭腹透室操作用桌面细菌培养合格率、腹透管皮肤出口处细菌检出率、性别、腹透室空气及操作者手细菌培养合格率和腹透管皮肤出口处感染对细菌性腹膜炎的发生有重要意义。Ｌｏｇｉｓｔｉｃ 回归分析显示前３ 者是影响的主要因素；②护理干预后腹膜炎发生率显著下降。提示使居家ＣＡＰＤ 者保持个人卫生、加强家庭透析室的消毒和规范操作非常重要。

Thirty three home CAPD(continuous ambulatory peritoneal dialysis) patients were selected in the 1 year period study.Every patient received effective nursing intervention and scheduled investigation.The results showed that ①sex,the positive rate of bacterial culture of peritoneal dialysis room table top,the bacterial positive rate of outlet of the sinus tract surrounding the catheter were 3 major factors via Logistic regression analysis. After intervention,the morbidity of CAPD related bacterial peritonitis decreased significantly ( P<0.05); ②age,the individual immunity status,his/her educated level had no obvious influence on the morbidity of bacterial peritonitis (P all>0.05).It is suggested that giving training on sterilization and related operation frequently to home CAPD clients (especially,men) may decline the morbidity of CAPD related bacterial peritonitis. Author's address The 3rd Hospital,SuZhou Medical College( The First People's Hospital of Changzhou),Changzhou,213003