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持续质量改进护理对糖尿病肾病患者植入套袖式血液透析导管相关感染的预防效果 预览

Preventive effect of continuous quality improvement nursing on patients with diabetic nephropathy receiving sleeve hemodialysis cathete
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摘要 目的探讨持续质量改进护理(CQI)对糖尿病肾病(DN)患者植入套袖式血液透析导管相关感染预防效果。方法选取2016年12月~2017年12月我院收治的静脉植入袖套式血液透析导管的116例血液透析患者作为研究对象,随机分为对照组和观察组,每组各58例。对照组仅采用常规护理,观察组采用CQI模式。比较两组的首次感染时间、血液透析导管留置时间和置管后60d感染发生风险。结果观察组的首次感染发生时间长于对照组,隧道感染、外口感染率及总感染率低于对照组,差异有统计学意义(P<0.05)。观察组60d导管的相关风险显著低于对照组,差异有统计学意义(P<0.01)。观察组的并发症发生率为10.34%,低于对照组的29.31%,差异有统计学意义(P<0.05)。护理前,两组的生活质量评分比较,差异无统计学意义(P>0.05);护理后,两组的生活质量评分高于护理前,观察组的生活质量评价高于对照组,差异有统计学意义(P<0.05)。观察组护理总满意度为96.55%,高于对照组的89.65%,差异有统计学意义(P<0.05)。结论CQI可显著降低血液透析患者导管相关感染发生风险和继发感染发病率,同时延长套袖式血液透析导管首次感染发生时间。 Objective To explore the effect of continuous quality improvement nursing(CQI)on the prevention of infection related to sleeve hemodialysis catheter implantation in diabetic nephropathy(DN)patients.Methods A total of 116 cases of hemodialysis patients who received intravenous implantation of sleeve hemodialysis catheters in the department of nephrology of our hospital were collected from December 2016 to December 2017 and divided into two groups randomly.Patients in the control group(n=58)were received routine nursing care,patients in the observation group(n=58)were received CQI.The time of first infection and the time of hemodialysis catheter indwelling and the risk of infection within 60 days after catheterization of patients from two groups were compared.Results The first infection time of observation group was longer than that of control group,and the infection rate of tunnel,outer mouth and overall infection rate of observation group were lower than those in the control group,with statistical difference(P<0.05).The risk associated with internal catheter during 60 d in the observation group was lower than that in the control group,with statistically difference(P<0.01).The incidence of complication of observation group was 10.34%,which was lower compared to 29.31%of control group,with statistical difference(P<0.05).There was no statistical difference between control group and observation group on SF-36 life quality evaluation before nursing project(P>0.05).After nursing project,SF-36 life quality evaluation of both groups were higher than that of previous,and SF-36 life quality evaluation of observation group was higher than that of control group,with statistical difference(P<0.05).The overall satisfaction of the observation group(96.55%)was higher than that of control group(89.65%),with statistically difference(P<0.05).Conclusion CQI can significantly reduce the risk of catheter-related infection and the incidence of secondary infection in hemodialysis patients,and prolong the time of the first infection of s
作者 江燕 JIANG Yan(Hemodialysis Room,Shangrao People's Hospital,Jiangxi Province,Shangrao 334000,China)
出处 《中国当代医药》 2019年第10期234-236,239,F0004共5页 China Modern Medicine
关键词 持续质量改进 糖尿病肾病 血液透析导管 相关 Continuous quality improvement Diabetic nephropathy Hemodialysis Catheter associated infection
作者简介 江燕,女,本科,主管护师,研究方向:护理管理.
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