[1]黄郢荷.循证护理对维持性血液透析导管感染发生情况的影响[J].西部中医药,2012,25(05):103-104.
　HUANG Ying-he.Effects of Evidence-based Nursing on Catheter Related Infections of Maintenance Hemodialysis[J].Western Journal of Traditional Chinese Medicine,2012,25(05):103-104.
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循证护理对维持性血液透析导管感染发生情况的影响
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
25
期数:
2012年05期
页码:
103-104
栏目:
出版日期:
2012-05-15

文章信息/Info

Title:
Effects of Evidence-based Nursing on Catheter Related Infections of Maintenance Hemodialysis
文章编号:
1004-6852(2012)05-0103-02
作者:
黄郢荷
荆州市中心医院血液净化中心，湖北 荆州 434000
Author(s):
HUANG Ying-he
Blood Purification Center, Jingzhou Central Hospital of Hubei Province, Jingzhou 434000, China
关键词:
血液透析; 感染; 循证护理
Keywords:
hemodialysis;  infection;  evidence-based nursing
分类号:
R459.52
摘要:
目的：观察循证护理对维持性血液透析导管感染发生情况的影响。方法：将60例维持性血液透析患者随机分为观察组、对照组各30例。对照组采用常规护理模式进行护理，观察组采用循证护理模式进行护理。观察2组患者感染发生率、导管留置时间、患者护理满意率及护理后导管卫生保持习惯、相关知识掌握情况。结果：感染发生率观察组为6.67%，对照组为16.67%，观察组显著低于对照组(P＜0.05)。患者满意率观察组达100.00%，对照组为83.33%，观察组显著高于对照组(P＜0.05)。导管留置时间观察组长于对照组，2组相比差异有统计学意义(P＜0.05)。导管卫生保持习惯、相关知识掌握优良率观察组分别为86.67%、83.33%，对照组分别为66.67%、60.00%。2组相比有统计学差异(P＜0.05)。结论：循证护理可降低维持性血液透析导管感染发生率，提高患者护理满意度，延长导管留置时间，提高导管卫生保持习惯、相关知识掌握优良率。
Abstract:
Objective: To observe the effect of evident-based nursing on catheter related infections of maintenance hemodialysis. Method: Sixty patients were allocated into observation group and control group on average. Control group received conventional nursing while observation group were administered with evidence-based nursing. Infection incidence, retention time of catheter, satisfaction rate, habit of keeping catheter hygiene after care and condition of grasping associated knowledge were observed in both groups. Result: Infection incidence in observation group was 6.67%, lower than 16.67% in control group (P＜0.05). Satisfaction rate in observation group was 100.00%, higher than 83.33% in control group (P＜0.05). Retention time in observation group was longer than that in control group with a significant difference (P＜0.05). Excellent rates in habit of keeping catheter hygiene after care and condition of grasping associated knowledge in observation group respectively were 86.67% and 83.33%, higher than 66.67% and 60.00% in control group. Conclusion: Evidence-based nursing can reduce the incidence of catheter related infection of maintenance hemodialysis, raise patients' nursing satisfaction, lengthen retention time of catheter as well as increase excellent rates in habit of keeping catheter hygiene and condition of grasping associated knowledge.

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备注/Memo

备注/Memo:
收稿日期：2012-01-15 作者简介：黄郢荷(1963—)，女，主管护师。研究方向：血液净化护理。
更新日期/Last Update: 2012-05-15