ISPD指南及出口评分系统在腹膜透析导管出口处护理的应用效果

Application effect of ISPD guidelines and export scoring system in nursing care of catheter exit of peritoneal dialysis

目的观察ISPD指南关于"出口处护理"的要点应用于持续非卧床腹膜透析(CAPD)导管出口处护理的效果,并应用出口评分系统(ESS)进行效果评价。方法应用ISPD指南关于"出口处护理"的要点于49例CAPD患者并观察1年;观察出口评分情况、出口感染率(次/患者.年)、腹膜感染率(次/患者.年)、住院率(次/患者.年)、退出率(%)和死亡率(%)。结果应用ISPD指南关于"出口处护理"的要点后,出口评分情况显著改善(P﹤0.01),出口感染率、腹膜感染率和住院率显著降低(P﹤0.01)。结论在国内地市级医院应用ISPD指南,能有效降低CAPD导管感染的风险,并能显著降低腹膜透析导管相关感染的发生率。

Objective To observe the effect of international society for peritoneal dialysis（ISPD） guidelines about the key points of ＂exit nursing care＂ applied to nursing care of catheter exit of continuous ambulatory peritoneal dialysis（CAPD）,and the effect was evaluated by export scoring system（ESS）.Methods The ISPD guidelines about the key points of ＂exit nursing care＂ were used in 49 patients with CAPD and the results were observed for 1 year;the export scores,export infection rate（times/case·year）,peritoneal infection rate（times/case·year）,hospitalization rate（times/case·year）,exit rate（%） and mortality（%） were observed.Results After the application of ISPD guidelines about the key points of ＂exit nursing care＂,the export scores were improved significantly（P 0.01）,the export infection rate,peritoneal infection rate and hospitalization rate were decreased significantly（P 0.01）.Conclusion The application of ISPD in regional and municipal hospital can effectively reduce the risk of CAPD catheter infection,and significantly reduce the incidence of related infections of catheter of peritoneal dialysis.