细节护理在预防血液透析置管感染中的作用

The Role of Detailed Care in Preventing Hemodialysis Tube Infection

目的探究细节护理对于预防血液透析置管感染所起到的临床效果。方法随机选取该院在2016年1月—2017年12月期间接受血液透析的患者42例,根据护理方式的不同分为对照组和观察组,各21例,其中对照组患者采取常规血液透析护理干预,观察组患者在常规基础上采取细节护理干预,对比两组患者在护理期间的感染率,护理满意度,干预后的生存质量指标QOL评分以及患者的肾功能指标。结果观察组患者发生1例(4.76%)感染,显著低于对照组6例(28.57%),差异有统计学意义(X^2=4.091,P<0.05);观察组患者满意度为100.00%,显著高于对照组患者(66.67%),差异有统计学意义(X^2=4.263,P<0.05);护理之后,观察组患者的QOL评分为(95.02±3.75)分,显著高于对照组患者,差异有统计学意义(t=7.679,P<0.05);尿素氮水平为(11.17±2.09)mM,显著高于对照组患者,差异有统计学意义(t=3.281,P<0.05);24 h尿蛋白水平为(3.07±0.25)g,显著低于对照组患者,差异有统计学意义(t=3.199,P<0.05)。结论细节护理干预方式的采取,显著降低患者感染发生的同时提高患者满意度,值得临床参考。

Objective To investigate the clinical effect of detailed nursing on prevention of hemodialysis tube infection.Methods A total of 42 patients who underwent hemodialysis between January 2016 and December 2017 were randomly selected and enrolled. According to the different nursing methods, 21 patients in the control group and the observation group were included. The control group received routine hemodialysis nursing intervention. Patients in the observation group underwent detailed nursing intervention on a routine basis, comparing the infection rate of the two groups during the nursing period, the satisfaction of the nursing, the QOL score of the quality of life after the intervention, and the renal function of the patient. Results One patient（4.76%） was infected in the observation group, which was significantly lower than the control group 6 cases（28.57%）,the different was statistically significant（X^2=4.091, P〈0.05）. The satisfaction of the observation group was 100.00%, which was significantly higher than that of the control group（66.67%）,the different was statistically significant（X^2=4.263, P〈0.05）; after nursing, the QOL score of the observation group was（95.02±3.75）points, which was significantly higher than that of the control group,the different was statistically significant（t=7.679, P〈0.05）;（11.17±2.09） m M, significantly higher than the control group,the different was statistically significant（t=3.281, P〈0.05）; 24 h urinary protein level was（3.07±0.25）g, significantly lower than the control group,the different was statistically significant（t=3.199, P〈0.05）. Conclusion The adoption of detailed nursing intervention methods can significantly reduce the incidence of infection and improve patient satisfaction, which is worthy of clinical reference.