针对性护理在连续性血液净化患者感染预防中的应用效果

Application effect of targeted nursing on prevention of infection in patients with continuous blood purification

目的探讨针对性护理在连续性血液净化(CBP)患者感染预防中的应用效果。方法选取2017年9月~2018年7月我院收治的49例CBP患者作为研究对象,按照随机数字表法分为干预组(28例)和对照组(21例)。对照组采用急诊室一般护理,干预组采用针对性护理干预,比较两组干预前后血清学指标变化情况、干预后两组感染发生率及健康知识掌握情况。结果干预后,干预组白介素-6(IL-6)、白介素-10(IL-10)和肿瘤坏死因子-α(TNF-α)均低于干预前,干预组IL-6、IL-10和TNF-α水平均低于对照组,差异有统计学意义(P<0.05);干预组干预后感染总发生率低于对照组,差异有统计学意义(P<0.05),干预组健康知识总掌握率高于对照组,差异有统计学意义(P<0.05)。结论针对性护理能显著改善CBP患者的各项血清学指标,降低患者感染率,改善患者整体健康知识掌握情况。

Objective To explore the effect of targeted nursing on the prevention of infection in patients with continuous blood purification(CBP).Methods A total of 49 patients with CBP treated in our hospital from September 2017 to July 2018 were selected as subjects.The patients were divided into treatment group(28 cases)and control group(21 cases)according to random number table method.The control group was given emergency room general nursing,the treatment group was given targeted nursing intervention.The changes of serological indexes before and after the intervention of the two groups,the incidence of infection,and health knowledge mastery of the two groups after the intervention were compared.Results After the intervention,interleukin-6(IL-6),interleukin-10(IL-10)and tumor necrosis factor-α(TNF-α)in the treatment group were lower than that before the intervention,and IL-6,IL-10 and TNF-αin the treatment group were lower than those in the control group,the differences were statistically significant(P<0.05).The total incidence of infection in the treatment group was lower than that in the control group,the difference was statistically significant(P<0.05),and the health knowledge mastery rate of the treatment group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion Targeted nursing can improve the serological indexes of patients with CBP,reduce the probability of infection,improve the overall health knowledge mastery of patients.