持续质量改进护理在涤纶袖套式导管感染控制中的应用  

Application of continuous quality improvement nursing in infection control of polyester sleeve catheter

作　　者：冯平 Feng Ping(Department of Blood Purification Center,Yancheng First People's Hospital,224001,China)

机构地区：[1]盐城市第一人民医院血液净化中心,224001

出　　处：《国际护理学杂志》2020年第20期3755-3758,共4页international journal of nursing

基　　金：江苏省卫计委科研课题(Z2017015)。

摘　　要：目的探讨终末期肾脏病患者血液透析治疗过程中采用持续质量改进护理(CQIC)对控制涤纶袖套式导管感染的临床应用价值。方法选取2016年1月至2019年12月在盐城市第一人民医院接受以植入袖套式导管方式进行血液透析治疗的152例患者,随机数字表法分为对照组(76例)和观察组(76例)。对照组在治疗过程中采用常规护理,观察组给予CQIC。比较两组患者导管相关感染的发生率与导管留置时间。结果观察组患者导管相关感染总感染发生率低于对照组,差异有统计学意义(P<0.05);观察组导管留置时间显著长于对照组,差异有统计学意义(P<0.001)。结论CQIC对降低血液透析导管感染的发生率有显著作用,并能有效延长导管使用时间。Objective To investigate the clinical value of continuous quality improvement care(CQIC)in the control of dacron sleeve catheter infection in patients with end-stage renal disease(ESRD)during hemodialysis.Meth・ods A total of 152 patients receiving hemodialysis by inserting sleeve catheter by means of cuff catheter in the hospital from January 2016 to December 2019 were selected and randomly divided into control group(76 cases)and observation group(76 cases).The control group received routine nursing during the treatment,while the observation group received CQIC.The incidence of catheter-related infection and catheter indwelling time were compared between the two groups.Results The total incidence of catheter-related infection in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The indwelling time of the catheter in the observation group was significantly longer than that in the control group,and the difference was statistically significant(P<0.001).Conclusions CQIC has a significant effect on reducing the incidence of hemodialysis catheter infection,and can effectively prolong the duration of catheter use.

关 键 词：持续质量改进护理 导管感染 护理 

分 类 号：R472.1[医药卫生—护理学]