血液透析患者医院感染分析与护理措施  

Hospital infection and nursing measures in hemodialysis center

作　　者：金素萍[1] 王如[2] 

机构地区：[1]江苏省扬州市第一人民医院感染管理处,江苏扬州225001 [2]江苏省扬州市第一人民医院血液透析中心,江苏扬州225001

出　　处：《实用临床医药杂志》2011年第20期65-67,共3页Journal of Clinical Medicine in Practice

摘　　要：目的了解慢性肾衰竭血液透析患者医院感染的情况，探讨其相关危险因素，制定相应护理措施。方法对2007年1月～2009年9月行血液透析治疗的109例患者资料进行回顾性分析。结果109例血液透析患者发生医院感染51例，感染率为46．78％，感染发生的主要部位是呼吸道（39．7％）、其次是血管通路感染（22．4％）、泌尿道感染（15．5％）、血液病毒感染（10．3％）、肠道感染（6．9％）；原发病为糖尿病肾病、贫血越严重、白蛋白越低、年龄越大者医院感染率越高，差异均有统计学意义（P〈0．05）。结论加强环境管理、合理营养提高抵抗力、做好深静脉置管患者的导管护理、加强HBV、HCV、HIV阳性患者护理管理、强化手卫生等护理措施的落实是减少血液透析患者医院感染发生的关键。Objective To explore hospital infection of patients with chronic renal failure in hemodialysis center, investigate its risk factors and develop appropriate nursing measures. Methods The data of 109 cases who received hemodialysis from January 2007 to September 2009. were ret- rospectively analyzed Results There were 51 infection cases in 109 hemodialysis patients. The in- fection rate was 46.78 %. The main site of infection was respiratory tract （39.7 % ）, followed by vascular access （22.4%）, urinary tract （ 15.5% ）, blood virus infection （10.3%） and intestinal tract （6.9 % ）. The infection rate was closely related to diabetic nephropathy, anemia, hypopro- teinemia and senility. There were statistically significant differences （P 〈 0.05）. Conclusion The key to prevent hospital infection is the strengthening of the environmental management, reasonable nutrition for better immunity and good catheter nursing, and the strengthening of nursing manage-ment of HBV, HCV, HIV- positive patients, good hand hygiene and etc.

关 键 词：血液透析中心 医院感染 护理措施 

分 类 号：R473.5[医药卫生—护理学]