持续质量改进减少维持性血液透析导管相关感染的效果观察

Effect observation on continuous quality improvement to reduce the maintenance hemodialysis catheter related infections

目的观察持续质量改进减少维持性血液透析导管相关感染(CVC-RI)的临床疗效。方法将2007年5月～2012年3月在本院住院治疗的维持性血液透析析患者120例分为对照组(60例,持续质量改进前)和治疗组(60例,持续质量改进后),观察两组相关感染情况。结果两组的CVC-RI发生率之间差异明显(χ2=4.27,P=0.039<0.05);两组的局部反应之间发生率差异有统计学意义(χ2=4.53,P=0.033<0.05)。结论持续质量改进减少维持性血液透析导管相关感染的效果明显,通过管理和护理,进行质量细化控制,可以显著地降低导管相关感染。

Objective To observe the clinical effect of continuous quality improvement to reduce the maintenance hemodialysis catheter related infections （CVC-RI）. Methods One hundred and twenty patients with support blood dial- ysis treated in our hospital from May 2007 to March 2012 were divided into control group （60 cases, before continuous quality improvement） and treatment group （60 cases, after continuous quality improvement）, then the related infection status of two groups were observed. Results The difference of CVC-RI rate between two groups was obvious （χ2 = 4.27, P = 0.039 〈 0.05）; the difference of local reaction rate between the two groups was significant （χ2 = 4.53, P = 0.033 〈 0.05）. Conclusion The clinical effect of continuous quality improvement to reduce the maintenance hemodial- ysis catheter related infections is good, through the management and nursing, conduct quality refining control, it can significantly reduce the catheter related infections.