精选核心0306,长春,刘经理,张亚娟,糖尿病肾病患者血透中集束化护理对感染的预防情况.docVIP

糖尿病肾病患者血透中集束化护理对感染的预防情况 [摘要]目的：探讨糖尿病肾病患者血液透析中应用集束化护理对感染的预防。方法：本次共选择100例糖尿病肾病患者作研究对象，均为我院2013年1月至2014年1月收治，采用数字表抽取法随机分组，就常规方案护理（对照组，n=50）与集束化护理（观察组，n=50）感染防控效果进行比较。结果：两组血液透析导管留置时间无明显差异（P0.05），观察组感染1例，感染率为2%，对照组8例，感染率为16%，差异有统计学意义（P0.05）。观察组感染发生时间晚于对照组（P0.05）。结论：糖尿病肾病患者血透中应用集束化护理，可降低感染率，进而减少医疗费用和住院时间，实施方便，无需增加人力，效果明显，具较高应用价值。 关键词：糖尿病肾病；血透；集束化护理；感染；预防 In patients with diabetic nephropathy through prevention of infection in beam nursing [Abstract] Objective: To investigate the prophylactic nursing of infection of hemodialysis in patients with diabetic nephropathy. Methods: the total 100 cases of diabetic nephropathy patients as the research object, are in our hospital from 2013 January to 2014 January were selected, using digital table method were randomly divided into two groups, the conventional scheme of Nursing (control group, n=50) and Nursing (observation group, n=50) infection prevention and control effects are compared. Results: the two groups of hemodialysis catheter indwelling time had no significant difference (P0.05), were observed in 1 cases of infection, the infection rate was 2%, control group 8 cases, the infection rate was 16%, the difference was statistically significant (P0.05). The observation group infection occurred later than the control group (P0.05). Conclusion: the application of nursing in patients with diabetic nephropathy through, which can reduce the rate of infection, and reduce the cost of medical care and hospitalization time, easy to implement, without increasing the manpower, obvious effect, has higher application value. Keywords: diabetic nephropathy; hemodialysis; nursing; infection; prevention 糖尿病肾病（DN）为继发于糖尿病的肾脏病类型，近年发病率明显上升，通常采用血液透析行肾脏替代治疗。但患者因长期低血糖，机体免疫功能受损，显著增加了感染风险，影响生存率，故加强护理干预，行感染预防是保障预后的关键。集束化护理是将有循证基础的系列医护措施集合，对难治疾患处理的一种模式，目的在于制定最佳的可操作标准，协助医务人员提供优化的医疗护理服务。本次研究在糖尿病肾病患者血液透析中应用集束化护理，对感染进行防控，并与常规护理感染防控结果进行比较，现将结果总结报告如下。 1 资料与方法 1．1 一般资料 本次共选择研究对象100例，男56例，女44例，年龄35-68岁，平均（50.6±9.6）岁。均与《关于糖尿病的新诊断与分析》有关标准符合[1]。原发病为1型及2型糖尿病，前者4例，后