血液透析患者临时中心静脉置管相关感染的因素分析与护理对策

Factors and nursing measures for temporary central venous indwelling catheter-related infection in hemodialysis patients

  • 摘要: 目的 研究血液透析患者发生临时中心静脉置管相关感染的特点及危险因素,并提出相应的护理对策,为降低血液透析患者临时中心静脉置管相关感染提供指导依据。方法 将2012年3月-2015年3月232例临时中心静脉置管行血液透析患者中发生感染41例作为研究对象,分析其感染因素,数据采用SPSS 18.0软件进行统计分析。结果 患者临时中心静脉置管相关感染率为17.67%,共检出52株病原菌,以革兰阴性菌为主,共29株占57.66%;经过多因素分析显示,年龄≥55岁、临时置管>1周、皮肤感染、糖尿病肾炎及抗菌药物使用均是血液透析患者临时中心静脉置管相关感染的独立危险因素(P<0.05)。结论 多种因素共同作用导致血液透析患者发生临时中心静脉置管相关感染,医院应加强透析后感染的防范意识,最大程度的降低临时感染的发生率。

     

    Abstract: OBJECTIVE To study characteristics and risk factors of temporary central venous indwelling catheter-related infection occurred in hemodialysis patients, and propose appropriate nursing measures, so as to provide guidance for decrease the infection of temporary central venous indwelling catheter in patients with hemodialysis. METHODS The 41 patients occurred infections from a total of 232 cases of hemodialysis patients with central venous indwelling from Mar. 2012 to Mar. 2015 were chosen as study objects, which were under analysis for infection factors, and the data were analyzed by SPSS 18.0. RESULTS The temporary central venous indwelling catheter infection rate was 17.67%, and a total of 52 strains of pathogen were detected, mainly with gram-negative bacteria, accounting for 57.66%, 29 strains. After multivariate analysis, age ≥55 years, temporary catheter >1 week, skin infections, diabetes, nephritis and antimicrobial drug use were independent risk factors for temporary central venous indwelling catheter-related infection for hemodialysis patients (P<0.05). CONCLUSION A variety of factors led to the temporary central venous indwelling catheter-related infection for hemodialysis patients, so hospitals should strengthen awareness of prevention of infection after dialysis, to decrease the incidence of temporary central venous indwelling catheter-related infection.

     

/

返回文章
返回