细节护理对糖尿病肾病患者血液透析留置中心静脉导管感染预防及生活质量的影响  

Impact of Detailed Nursing on the Prevention of Central Venous Catheter Infection and Quality of Life in Hemodialysis Patients with Diabetic Ne⁃phropathy

作　　者：蔡冬梅 曹晓蕾[1] 杜淑敏 CAI Dongmei;CAO Xiaolei;DU Shumin(Blood Purification Room,Nantong Ruici Hospital,Nantong 226000,Jiangsu,China)

机构地区：[1]南通瑞慈医院血液透析室,江苏南通226000

出　　处：《糖尿病新世界》2024年第22期108-111,共4页Diabetes New World

摘　　要：目的 探究细节护理对糖尿病肾病患者血液透析留置中心静脉导管(central venous catheter, CVC)感染预防及生活质量的影响。方法 选取2022年2月-2024年2月南通瑞慈医院收治的68例糖尿病肾病患者,按护理方式不同分为两组,各34例。对照组接受常规护理,观察组在常规护理基础上接受细节护理。比较两组血糖水平、生活质量、CVC感染发生率及护理满意度。结果 干预后,与对照组相比,观察组空腹血糖、餐后2 h血糖及糖化血红蛋白水平均更低,差异均有统计学意义(P均<0.05)。观察组CVC感染率低于对照组,差异有统计学意义(P<0.05)。干预后,与对照组相比,观察组肾脏病生活质量表评分均更高,差异均有统计学意义(P均<0.05)。观察组护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论 细节护理能显著改善糖尿病肾病患者的血糖控制效果,降低血液透析CVC的感染率,提高患者的生活质量和护理满意度。Objective To explore the effect of detailed nursing on the prevention of central venous catheter(CVC)infection and quality of life in hemodialysis patients with diabetic nephropathy.Methods A total of 68 patients with dia⁃betic nephropathy admitted to Nantong Ruici Hospital from February 2022 to February 2024 were selected and di⁃vided into two groups according to different nursing methods,with 34 cases in each group.The control group received routine nursing,and the observation group received detailed nursing on the basis of routine nursing.The blood glucose level,quality of life,infection rate of CVC and nursing satisfaction were compared between the two groups.Results After intervention,compared with the control group,the levels of fasting plasma glucose,2-hour postprandial plasma glu⁃cose and glycated hemoglobin A1c in the observation group were lower,and the differences were statistically signifi⁃cant(all P<0.05).The infection rate of CVC in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).After intervention,compared with the control group,the scores of Kid⁃ney Disease Quality of Life Scale in the observation group were higher,and the differences were statistically signifi⁃cant(all P<0.05).The total nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Detailed nursing can significantly improve the blood glucose control effect of patients with diabetic nephropathy,reduce the infection rate of hemodialysis CVC,and improve the quality of life and nursing satisfaction of patients.

关 键 词：细节护理 中心静脉导管感染 生活质量 糖尿病肾病 

分 类 号：R473.5[医药卫生—护理学]