细节管理对减少长期留置血透导管相关感染的效果观察

Observation on the effect of details management in reducing catheter related infection in long-term indwelling hemodialysis

目的探讨细节管理对减少长期留置血透导管相关感染的效果。方法选择中心静脉置长期血透导管进行血液透析的患者120例,将其分为观察组和对照组各60例,对照组进行血液透析的常规管理,观察组在常规管理基础上加强细节管理,主要做法为:加强无菌操作培训和无菌操作,以及对患者的健康教育。比较两组血透导管相关感染发生的情况。结果观察组血透导管相关感染者5例,发生率8.3%,对照组血透导管相关感染22例,发生率37%,观察组明显少于对照组(P<0.05)。结论实施细节管理,能有效地降低血透导管相关感染的发生率,延长导管使用寿命,减少非计划拔管率,提高血液透析患者对护理工作的满意度。

Objective To explore the effect of the details management in reducing catheter related infection in long-term indwelling hemodialysis. Methods One hundred and twenty hemodialysis patients using long-term indwelling catheters in central vein were randomly divided into observation group and control group with 60 cases in each group. Both groups were performed with routine management of hemodialysis, while the observation group received additional details management which mainly included： strengthen training and the performance of the aseptic operation and health education to patients. Hemodialysis catheter related infections rate of the two groups were compared. Results Hemodialysis catheter related infections occurred in 5 patients （ an incidence rate of 8.3% ） in the observation group and in 22 patients （ an incidence rate of 37% ） in the control group （ P 〈 0. 05 ）. Conclusion The implementation of details management can effectively reduce the hemodialysis catheter related infection rate, prolong the service life of catheter, reduce non-planned catheter drawing rate, and improve hemodialysis patients＇ satisfaction with nursing work.