个人和家庭自我管理理论指导下预防护理对长期血液透析患者降低导管感染的效果分析  

Analysis of the Effectiveness of Preventive Care on Reducing Catheter Infection in Long-term Hemodialysis Patients

作　　者：陈伟晨 CHEN Weichen(The First Affiliated Hospital of Bengbu Medical University,Bengbu 233000,China)

机构地区：[1]蚌埠医科大学第一附属医院,安徽蚌埠233000

出　　处：《中外医学研究》2024年第30期84-87,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨个人和家庭自我管理理论指导下预防护理对长期血液透析患者降低导管感染的效果分析。方法:选取2021年4月—2022年4月蚌埠医科大学第一附属医院收治的120例长期血液透析患者作为研究对象,按随机数表法分为对照组和观察组,每组各60例。对照组给予常规护理干预,观察组给予自我管理理论的预防性护理干预。观察并比较两组干预前后导管相关感染、自我感受负担以及自护能力。结果:干预后,观察组相关感染发生率低于对照组,差异有统计学意义(P<0.05);干预后,观察组自我感受负担评分低于对照组,差异有统计学意义(P<0.05);干预后,观察组自护能力评分高于对照组,差异有统计学意义(P<0.05)。结论:个人和家庭自我管理理论指导下预防护理干预可显著降低长期血液透析患者导管感染率,有效减轻患者自我感受负担,提升自护能力。Objective:To explore the effect of preventive nursing under the guidance of individual and family self-management theory on reducing catheter infection in long-term hemodialysis patients.Method:A total of 120 patients with long-term hemodialysis admitted to the First Affiliated Hospital of Bengbu Medical University from April 2021 to April 2022 were selected as the study objects and divided into control group and observation group according to the random number table method,with 60 patients in each group.The control group was given routine nursing,and the observation group was given self-management preventive nursing.The catheter�related infection,self-perceived burden and self-care ability of the two groups before and after intervention were observed and compared.Result:After intervention,the incidence of related infection in observation group was lower than that in control group,the differences were statistically significant(P<0.05).After intervention,the self-perceived burden score of observation group was lower than that of control group,the differences were statistically significant(P<0.05).After intervention,the self-care ability score of observation group was higher than that of control group,the differences were statistically significant(P<0.05).Conclusion:Preventive nursing intervention under the guidance of personal and family self-management theory can significantly reduce catheter infection rate in patients with long-term hemodialysis,effectively reduce patients'self-perceived burden,and improve their self-care ability.

关 键 词：自我管理理论 血液透析 导管感染 自护能力 

分 类 号：R473.5[医药卫生—护理学]