探讨血液透析护理中防止患者MRSA感染的护理观察

Investigation on nursing observation of hemodialysis nursing in preventing MRSA infection in patients

目的探讨血液透析护理时对耐甲氧西林金黄色葡萄球菌(MRSA)感染进行预防的护理举措。方法 60例接受血液透析治疗患者进行分析研究,将患者随机分成对照组(25例)和观察组(35例)。对照组患者接受一般护理,观察组患者接受针对血液透析容易发生MRSA感染的因素护理,比较两组临床MRSA感染情况。结果观察组患者中出现MRSA肺部感染3例(8.6%),皮肤感染3例(8.6%),死亡1例(2.9%);对照组患者中出现MRSA肺部感染7例(28.0%),皮肤感染8例(32.0%),死亡5例(20.0%)。观察组患者MRSA肺部感染率、皮肤感染率及死亡率均低于对照组(P<0.05)。结论为血液透析护理患者提供预防性护理干预措施能够让MRSA的感染发生率下降,临床中应该积极使用。

Objective To investigate the nursing measures in preventing methicillin-resistantStaphylococcus aureus(MRSA)infection in hemodialysis nursing.Methods A total of60patients undergoinghemodialysis were analyzed and studied and randomly divided into control group(25cases)and observation group(35cases).The control group received general nursing,and the observation group received targeted nursing offactors contributing to MRSA infection during hemodialysis.Clinical MRSA infection condition in two groups wascompared.Results The observation group had3MRSA pulmonary infection cases(8.6%),3skin infection cases(8.6%)and1death case(2.9%),which were7cases(28.0%),8cases(32.0%)and5cases(20.0%)in the controlgroup.The observation group had lower MRSA pulmonary infection rate,skin infection rate and mortality rate thanthe control group(P<0.05).Conclusion Preventive nursing interventions for hemodialysis patients can reducethe incidence of MRSA infection and should be actively used in clinical practice.