摘要
目的研究风险评估分级干预对血液透析中心静脉导管相关血流感染的影响。方法根据随机数字表法将2019年11月-2022年11月在我院接受血液透析治疗的80例患者分为对照组和研究组,每组各40例。对照组行常规预防护理,研究组行风险评估分级干预,观察两组患者感控操作规程合格率、危险因素指标控制合格率及血流感染发生率。结果研究组透析用水管理、中心导管维护、高频接触物核查、消毒隔离、手卫生核查等感控操作规程合格率高于对照组(P<0.05)。研究组血红蛋白、糖化血红蛋白、白蛋白等危险因素指标控制合格率高于对照组(P<0.05)。研究组中心静脉导管血流感染发生率低于对照组(P<0.05)。结论风险评估分级干预可有效提升血液透析中心静脉导管患者感控操作规程合格率和危险因素指标控制合格率,从而降低中心静脉导管相关血流感染的发生风险。
Objective:To investigate the effect of graded intervention in risk assessment on bloodstream infection associated with central venous catheter in hemodialysis patients.Methods:According to the random number table method,80 patients received hemodialysis in our hospital from November 2019 to November 2022 were divided into a control group and a study group,with 40 cases in each group.The control group received routine preventive nursing,and the study group received graded intervention for risk assessment.The qualified rate of sensition-control operation procedures,the qualified rate of risk factor index control and the incidence of bloodstream infection were observed in the two groups.Results:The acceptance rate of the control group was higher than that of the control group(P<0.05).The qualified rate of hemoglobin,glycosylated hemoglobin,albumin and other risk factors in the study group was higher than that in the control group(P<0.05).The incidence of central venous catheter infection in the study group was lower than that in the control group(P<0.05).Conclusion:Graded intervention in risk assessment can effectively improve the qualified rate of sensory control procedures and risk factor index control for hemodialysis patients with central venous catheter,and reduce the risk of bloodstream infection associated with central venous catheter.
作者
章雅婷
ZHANG Ya-ting(The Fourth Affiliated Hospital of Nanchang University,Nanchang Jiangxi 330003,China)
出处
《透析与人工器官》
2023年第4期114-117,共4页
Chinese Journal of Dialysis and Artificial Organs
关键词
风险评估分级干预
血液透析
中心静脉导管
血流感染
graded intervention in risk assessment
hemodialysis
central venous catheter
bloodstream infection
