临床护理路径对血液透析患者导管相关性感染的预防作用

Preventive Effect of Clinical Nursing Pathway on Catheter-Related Infection of Patients with Hemodialysis

目的探讨临床护理路径对血液透析患者导管相关性感染的预防作用。方法选取我院2014年1月至2015年1月收治的血液透析患者96例,采用随机数字表法将患者分为两组,各48例。对照组采用常规护理,观察组在对照组患者的基础上采用临床护理路径,比较两组患者导管相关性感染发生率、知识掌握度与护理满意度的差异。结果两组患者导管留置时间比较差异无统计学意义(P>0.05),但观察组导管相关性感染发生率明显低于对照组(0.00%vs 16.67%),两组比较差异具有统计学意义(P<0.05)。护理后,两组患者知识掌握度评分均显著升高,且观察组知识掌握度评分显著高于对照组,差异具有统计学意义(P<0.05)。观察组患者护理满意度评分明显高于对照组,两组比较差异具有统计学意义(P<0.05)。结论临床护理路径对血液透析患者导管相关性感染具有重要的预防作用,并显著改善患者的知识掌握度与护理满意度,值得临床推广应用。

Objective To study the preventive effect of clinical nursing pathway on catheter-related infection of patients with hemodialysis. Methods 96 patients with hemodialysis treated in our hospital from January 2014 to January 2015 were selected and randomly divided into two groups, with 48 cases in each group. The control group was given conventional nursing, the observation group was given clinical nursing pathway on the basis of control group. The incidence of catheter-related infection, master degree of knowledge and nursing satisfaction of two groups were compared. Results The catheter indwelling time of two groups had no statistical difference（P0.05）, but the incidence of catheter-related infection of observation group was significantly lower than that of control group（0.00% vs16.67%）, P〈0.05. After nursing, the score of knowledge master degree of two groups increased significantly, and the score of observation group was significantly higher than that of control group, with statistical difference（P〈0.05）. The score of nursing satisfaction of observation group was significantly higher than that of control group, with statistical difference（P〈0.05）. Conclusions Clinical nursing pathway has important preventive effect for the catheter-related infection of patients with hemodialysis, and can significantly improve patients＇ knowledge master degree and nursing satisfaction, which is worthy of promotion.