摘要
目的：探讨集束化护理对血液透析导管相关性血流感染的预防效果。方法将我院2015年1月～2016年6月收治的留置血液透析导管患者95例作为研究组，给予集束化护理；选择2013年7月～2014年12月收治的留置血液透析导管患者87例作为对照组，给予常规护理措施，比较两组患者导管相关性血流感染的发生情况。结果研究组患者CRBSI发生率为2.11%（2/95），低于对照组的10.34%（9/87）（P＜0.05）；而导管留置时间高于对照组，组间比较差异具有统计学意义（P＜0.05）。研究组患者CRBSI发生率低于对照组，导管留置时间长于对照组，组间比较差异具有统计学意义（P＜0.05）。结论对血液透析患者采取集束化护理可有效降低CRBSI的发生率，保证置管的安全，改善患者预后。
Objective To investigate the effect of cluster nursing on prevention of hemodialysis catheter related bloodstream infection.Methods 95 cases of patients with hemodialysis catheter from January 2015 to June 2016 in our hospital were taken as the research group, and they were given cluster nursing, while 87 cases of patients from July 2013 to December 2014 were taken as the control group, and they were given routine nursing. The incidence of catheter related bloodstream infection was compared between the two groups.ResultsThe incidence of CRBSI in the study group was 2.11% （2/95）, the control group was 10.34% （9/87） （P〈0.05）, while the catheter indwelling time was longer than that in the control group, the difference was statistically signiifcant （P〈0.05）. The incidence of CRBSI in the study group was lower than that in the control group, the catheter indwelling time was longer than that in the control group, the difference was statistically signiifcant （P〈0.05）.Conclusion The incidence of CRBSI can be effectively reduced by cluster nursing in hemodialysis patients, which can ensure the safety of the catheter and improve the prognosis of patients.
出处
《中国继续医学教育》
2016年第29期234-235,共2页
China Continuing Medical Education
