预防血液透析置管感染中临床护理路径的意义

Efficacy of clinical care pathway intervention on prevention of hemodialysis catheter concurrent infection

目的探讨临床护理路径在预防血液透析置管患者感染护理中的作用。方法选取124例血液透析置管患者,随机分为临床护理路径组和对照组,临床护理路径组给予已制定好的护理路径进行护理,对照组按传统护理流程进行护理。对两组患者置管感染的发生情况、相关知识的认识情况和对护理工作的满意度来评价护理效果。结果临床护理路径组发生导管相关感染2例,发生率3.21%,明显低于对照组的12.90%(8/62);临床护理路径组患者干预后的认识程度较干预前明显提高;临床护理路径组患者干预后相关知识的认识程度明显高于对照组干预后;临床护理路径组患者对护理工作满意60例,满意率96.7%,明显高于对照组患者的满意率75.8%(47/62),差异均有统计学意义(P<0.05或P<0.01)。结论在血液透析置管患者的护理中应用临床护理路径,可降低置管感染率,提高患者对血液透析及留置导管相关知识的了解,提高护理工作的满意度。

Objective To Explore the role of the clinical care pathway （CNP） in the care of patients with hemodialysis catheter infection. Methods Selected 124 cases of hemodialysis catheter were randomly divided into the CNP and control groups, the CNP group to give the nursing paths has devel- oped good control group received traditional nursing process. The incidence of patients with catheter in- fection, the mastery of knowledge and the degree of nursing satisfaction were observed in each group and the differences were compared the nursing work. Results There were two cases of catheter--related in- fections in CNP. The incidence of catheter infection in clinical care pathway was 3.21 percent which was significantly lower than 75.8 percent（47/62）in the control groups. The level of awareness of patients in CNP after intervention was significantly improved than before the intervention and the control groups. The degree of satisfaction in Clinical care pathway was 96. 7 percent about 60 cases which was higher compared with control group which was 75.8 percent（47/62）. The differences were statistically significant （P〈 0.05 or P〈0.01）. Conclusions Using the CNP model of the care path forms in the hemodial- ysis patients with catheter have a lower catheter infection rate, improve patient Learning knowledge of hemodialysis and indwelling catheter, improve satisfaction of nursing.