质量控制小组对血液透析后中心静脉置管血流感染患者预后的影响分析  

Effect of quality control group on prognosis of patients with central venous catheter-related infections after hemodialysis

作　　者：王丽君[1] 沈雪云[1] 褚志强[1] 姚霞 李佳茵[1] 

机构地区：[1]天津市第一中心医院移植血透科,天津300192

出　　处：《中华医院感染学杂志》2017年第22期5266-5269,共4页Chinese Journal of Nosocomiology

基　　金：天津市卫生局科技基金项目(2013KZ024)

摘　　要：目的探究质量控制小组对血液透析后中心静脉置管血流感染患者预后的影响分析。方法选取2015年1月-2016年12月医院进行中心静脉置管的血液透析患者612例,将612例患者随机分为对照组和试验组各306例,对照组306例患者在中心静脉置管透析过程中行常规干预,试验组患者采用质量控制小组模式进行干预,比较两组患者置管后平均住院天数、治疗满意度及血流感染率。结果经过不同模式干预后,试验组血液透析患者的住院天数(17.21±3.96)短于对照组患者的平均住院天数(26.93±4.35),差异有统计学意义(P<0.05);试验组患者的治疗满意度明显高于对照组,差异有统计学意义(P<0.05);试验组患者血流感染率为2.00%低于对照组患者的10.33%,差异有统计学意义(P<0.05)。结论质量控制小组能够提高血液透析患者的治疗满意度,有效减少血液透析患者中心静脉置管血流感染率,有利于改善患者预后和患者心理状况,促进改善医护关系,值得在临床推广应用。OBJECTIVE To explore the influence of quality control group on prognosis of patients with central ve-nous catheter-related infections after hemodialysis.METHODS A total of 612 patients with central catheter-related infections who were treated with hemodialysis in the hospital from Jan 2015 to Dec 2016 were enrolled in the study and randomly divided into the control group and the experimental group,with 306 cases in each group.The con-trol group was given conventional interventions during the hemodialysis,while the experimental group was given the quality control group.The average length of hospital stay,satisfaction with treatment and incidence of blood-stream infections were observed and compared between the two groups of patients.RESULTS The average length of hospital stay of the experimental group was（17.21 ＆#177; 3.96）days after the interventions,（26.93 ＆#177; 4.35）days of the control group,and there was significant difference（P〈0.05）.The satisfaction with treatment of the experimen-tal group was significantly higher than that of the control group（P〈0.05）.The incidence of bloodstream infec-tions of the experimental group was 2.00%,shorter than 10.33% of the control group（P〈0.05）.CONCLUSION The quality control group may improve the hemodialysis patients＆#39;satisfaction with treatment,effectively reduce the incidence of central catheter-related bloodstream infections,facilitate the improvement of prognosis and psycholog-ical state of the patients and promote the improvement of doctor-patient relationship,and it is worthy to be promo-ted in the hospital.

关 键 词：质量控制小组 血液透析患者 中心静脉置管 血流感染 

分 类 号：R515.3[医药卫生—内科学]