综合护理干预在糖尿病肾病行长期导管患者中的应用

The application of synthetical nursing intervention in patient of diabetic nephropathy with long-term indwelling catheters

目的:采用综合护理干预措施,降低糖尿病肾病患者行长期导管并发症的发生率。方法:在本中心透析的80例糖尿病肾病行长期导管患者随机分为对照组和干预组。对照组采用常规护理,干预组采用综合护理干预措施,比较2组患者堵管、导管内感染、局部感染的发生率,发生堵管、感染的时间及导管的使用寿命。结果:对照组透析发生堵管13例、导管内感染6例、局部感染10例;干预组发生堵管2例、局部感染3例、无导管内感染发生;干预组的并发症发生率显著低于对照组(P<0.05);同时干预组也可延缓堵管、感染的发生,延长导管的使用寿命(P<0.01)。结论:对糖尿病肾病行长期导管患者加强导管的综合护理干预,可以降低常见并发症的发生。

[Objective]Using syntheticalnursing interventionto reduce incidence of complication in patient of diabetic nephropathy with long- term indwelling catheters. [Method]80 patientswith diabetic nephropathy, enrolled in our hospital from Jan 2014 to Jun 2015,were divided into control group and treatment group randomly. Usual care was performed in control group and syntheticalnursing intervention was performed in treatment group. The incidence rate of tube plugging,infection in catheter and local infection were compared. [Result]The incidence of tube plugging,infection in catheter and local infection in control group were 13（ 32. 5%）,6（ 7. 5%）,10（ 25. 0%） and 2（ 5. 0%）,0（ 0. 0%）,3（ 7.5%） in treatment group,respectively. The incidence in treatment group is markedlylower than control group（ P〈0.05）.[Conclusion]In patient of diabetic nephropathy with long- term indwelling catheters,the incidence of complication may be reduced by enhancing nursing intervention of catheters.