环节质量控制联合风险分级护理对血液透析中心静脉导管相关感染情况的影响  

The Impact of Link Quality Control Combined with Risk Grading Nursing on Venous CatheterRelated Infections in Hemodialysis Centers

作　　者：郑晶 ZHENG Jing(Blood Purification Room,Affiliated Hospital of Putian University,Putian,Fujian 351100,China)

机构地区：[1]莆田学院附属医院血液净化室,福建莆田351100

出　　处：《中国医药指南》2025年第9期169-172,共4页Guide of China Medicine

摘　　要：目的分析血液透析患者接受环节质量控制联合风险分级护理对静脉导管相关感染情况的影响。方法择取莆田学院附属医院血液净化室行静脉导管维持血液透析患者共84例,时段为2022年10月至2023年10月。用随机数字表法分两组,各42例。对照组实施常规护理干预,观察组实施环节质量控制联合风险分级护理。基于透析指标、导管相关感染情况、置管相关风险事件、生活质量对两组患者干预效果进行综合评价。结果与对照组相比,观察组导管出口部位感染、导管相关性血流感染发生率更低(P<0.05)。与对照组相比,观察组置管相关风险事件总发生率更低(P<0.05)。干预后观察组尿素清除指数(Kt/V)、尿素下降率(URR)较对照组高,β2-微球蛋白(β2-MG)较对照组低(P<0.05)。干预后,观察组世卫组织生存质量测定简表(WHOQOL-BREF)较对照组高(P<0.05)。结论血液透析患者接受环节质量控制联合风险分级护理,可降低静脉导管相关感染风险,减少置管相关风险事件,提高血透质量,促进生活质量改善。Objective To analyze the impact of quality control combined with risk grading nursing on venous catheter-related infections in hemodialysis patients.Methods A total of 84 patients were selected from the blood purification room of the Affiliated Hospital of Putian University for intravenous catheter maintenance of hemodialysis from October 2022 to October 2023.Random number table method was used to divide two groups,each with 42 cases.The control group implemented routine nursing intervention,and the observation group implemented link quality control combined risk grading nursing.Based on dialysis indicators,catheter-related infection,catheter-related risk events and quality of life,the intervention effect of the two groups of patients was comprehensively evaluated.Results Compared with control group,the incidence of catheter outlet site infection and catheter-associated bloodstream infection in observation group was lower(P<0.05).Compared with the control group,the total incidence of catheter-related risk events was lower in the observation group(P<0.05).After intervention,the urea clearance index(Kt/V)and urea decline rate(URR)in observation group were higher than those in control group,and theβ2-microglobulin(β2-MG)in observation group was lower than those in control group(P<0.05).After intervention,WHOQOL-BREF in the observation group was higher than that in the control group(P<0.05).Conclusions The combination of quality control and risk grading nursing in hemodialysis patients can reduce the risk of venous catheter-related infections,reduce catheter-related risk events,improve hemodialysis quality,and promote improvement in quality of life.

关 键 词：血液透析 环节质量控制 风险分级护理 静脉导管相关感染 

分 类 号：R473[医药卫生—护理学]