集束化护理干预在预防血液透析导管相关血流感染的效果分析及护理

Effect analysis of intensive care intervention on blood flow infection in hemodialysis catheter and nursing

目的分析集束化鼓励干预在预防血液透析导管相关血流感染的效果。方法选择2013年1月~2014年1月到我院治疗的血液透析患者90例为对照组进行常规护理,选择2014年1月~2015年1月入住的我院的90例患者运用了集束化护理,比较两组患者CRBSI的发生率、置管时间及护理满意度。结果干预组CRBSI发生率1.1%低于对照组的8.9%,导管留置时间(36.4±6.2)d长于对照组(27.4±5.4)d,干预组护理满意率(92.2%)优于对照组(76.7%),上述差异有统计学意义(P<0.05)。在感染患者中,共检出病原菌11株,以革兰阳性菌为主,占63.6%。结论集束化护理干预措施能够有效降低血液透析导管相关血流感染率的发生,减轻患者医疗负担,提高治疗效果,促进患者恢复。

Objective To analyze the effect of cluster intervention on the prevention of blood flow infections in hemodialysis catheters. Methods 90 eases with hemodialysis from Jan.2013 to Jan. 2014 treated in our hospital were treated routine care and as control group, 90 cases with hemodialysis from Jan.2014 to Jan. 2015 treated in our hospital were treated intensive care and as intervention group. The incidence of CRBSI, catheter time and nursing satisfaction were compared between the two groups. Results The incidence of CRBSI in the intervention group was 1.1%, and lower than that of the control group, catheter placement time was （36.4 ± 6.2） d, and longer than that of the control group （27.4 ± 5.4） d, the nursing satisfaction rate of intervention group （92.2%） was superior to that of control group （76.7%）, the above differences were statistically significant （P 〈 0.05）. Among the infected patients, 11 strains of pathogenic bacteria were detected, and the main strains of gram-positive bacteria were 63.6%. Conclusion The intensive nursing intervention measures can effectively reduce the incidence of blood flow infection in hemodialysis catheter, reduce the medical burden of patients, improve the therapeutic effect and promote the recovery of patients