预见性护理在降低糖尿病肾病血液透析患者医院感染发生率中的应用效果  

Effect of predictive nursing on reducing the incidence of nosocomial infection in hemodialysis patients with diabetic nephropathy

作　　者：陈丽[1] 苏晓燕[1] 刘玉峰[1] CHEN Li SU Xiao-yan LIU Yu-feng(Department of Nephrology,Dongguan Donghua Hospital Affiliated to Sun Yat-sen University,Dongguan 523100, China)

机构地区：[1]中山大学附属东莞东华医院肾病风湿科,广东东莞523100

出　　处：《中国当代医药》2017年第6期185-187,共3页China Modern Medicine

摘　　要：目的探讨预见性护理在降低糖尿病肾病血液透析患者医院感染发生率中的应用效果。方法选取2016年1~11月入住我院肾病科进行血液透析的糖尿病CKD-5期患者200例作为研究对象。运用随机数字表法将其分为对照组和实验组,各100例。对照组施以一般护理,实验组施以预见性护理,干预3个月,记录其发生医院感染的状况和护理满意度。结果干预3个月后,实验组医院感染发生率为4%,明显低于对照组的12%;实验组患者护理满意程度为95%,明显高于对照组的80%,差异均有统计学意义(P<0.05)。结论预见性护理可降低糖尿病CKD-5期患者医院感染发生率,并且可以增加患者对护理人员所提供护理服务的认可度。Objective To explore the effect of predictive nursing on the incidence of nosocomial infection in hemodialysis patients with diabetic nephropathy.Methods 200 patients with diabetes mellitus CKD-5 who underwent hemodialysis were enrolled in our hospital from January to November 2016.The patients were divided into control group and experimental group hy random number method,100 patients in each groups,The Control group was given general nursing care.the experimental group was given foreseeing care,each patient intervened for 3 months.The hospital infection status and nursing satisfaction were recorded.Results After 3 months of intervention, ihe incidence of nosocomial infection in the experimental group was 4%,which was significantly lower than that of control group of 12%.The satisfaction degree of the experimental group was 95%,was significantly higher than that of control group of 80% （P〈0.05）,Conclusions Predictive care can reduce the incidence of nosocomial infection in patients with CKD-5 diabetes mellitus and may increase the acceptance of nursing care provided by the caregiver.

关 键 词：预见性护理 糖尿病肾病 血液透析 医院感染 

分 类 号：R322.61[医药卫生—人体解剖和组织胚胎学]