预防性护理在血液透析患者感染控制中的应用效果

Application Effect of Preventive Care on Controlling the Infections in Patients Undergoing Hemodialysis

目的探讨预防性护理在血液透析患者感染控制中效果。方法整群选取2012年1月—2014年5月该院收治的血液透析患者共75例,并随机分为对照组(n=37)和观察组(n=38)。对照组给予常规性护理,观察组给予预防性护理,比较两组的感染发生情况、住院总时间和护理满意程度。结果经不同的护理干预后,观察组未发生感染事件,对照组感染率为27.6%,观察组显著地低于对照组(?2=5.851,P=0.016);观察组住院时间为(18.2±3.7)d,显著地低于对照组的(23.8±4.5)d(t=0.8945,P=0.000);观察组护理满意度率为97.4%,显著地高于对照组的78.4%(?2=5.851,P=0.016)。结论预防性护理能够有效地预防血液透析感染,缩短住院时间,有效地提高护理满意程度,应在血液透析中加强预防性护理干预。

Objective To investigate the application effect of preventive care on controlling the infections in patients undergoing hemodialysis. Methods A total of 75 patients underwent hemodialysis in our hospital from January 2012 to May 2014 were randomly divided into the control group（n=37）and the observation group （n=38）.The control group were given the conventional nursing, while the observation group were given the preventive care. And the incidence of infections, length of stay and nursing satisfaction were compared between the two groups. Results After nursing intervention, no incidents of infection occurred in the observation group, while the infection rate in the control group was 27.6%, the observation group had much lower infection rate than the control group（ 2=5.851, P=0.016）. The length of stay of the observation group was （18.2±3.7）d, significantly shorter than （23.8±4.5）d of the control group （t=0.8945, P=0.000）. The nursing satisfaction rate of the observation group was 97.4%, which was significantly higher than 78.4%of the control group（c2=5.851, =0.016）. Conclusion Preventive care can effectively prevent the incidence of infections in hemodialysis, shorten the length of stay and improve the nursing satisfaction, therefore preventive care intervention should be strengthened in hemodialysis.