腹膜透析患者并发感染性腹膜炎的高危因素分析及护理对策

Analysis of high-risk factor in peritoneal dialysis patients complicated with infectious peritonitis and coping nursing strategy

目的探讨腹膜透析患者合并感染性腹膜炎的高危因素及其护理要点。方法回顾性分析蚌埠医学院第一附属医院肾内科住院45例腹膜透析患者临床资料,对其并发感染性腹膜炎的危险因素进行分析总结,从而针对各危险因素加强无菌技术操作、护理宣教、饮食及生活指导等。结果 45例患者中有15例感染腹膜炎与30例未感染腹膜炎患者,在年龄、文化程度及经济收入上比较差异有统计学意义。腹膜透析患者合并感染性腹膜炎的高危因素主要有操作不当、肠道感染、呼吸道感染等多种因素。结论要做好腹膜透析并发感染性腹膜炎的预防工作,要求护理人员要加强护理干预及个性化因人施教的健康教育,改变错误的操作行为和不良的认知,提高患者自我管理疾病的能力。

Objective To explore the risk factors in peritoneal dialysis patients complicated with infectious peritonitis and coping nursing strategy. Methods The clinical materials of 45 cases of peritoneal dialysis in our department were analyzed retrospectively, the risk factors complicated by infectious peritonitis were reviewed. The aseptic operation, nursing education,diet and life guidance, etc were performed pertinently according to different risk factors. Results In the 45 peritoneal dialysis patients, there were 15 cases of infected peritonitis and 30cases of uninfected peritonitis, and the difference in age, culture degree and economic income had statistical significance. The risk factors of peritoneal dialysis complicated by infectious peritonitis mainly included the improper operation, intestinal infection, respiratory tract infection, and so on. Conclusion To prevent from the infectious peritonitis ,the nursing staff should strengthen nursing intervention and differential treatment in personalized health education, correct the wrong operation behavior and poor cognitive, and improve patients＇ ability of self-management.