Effect of nursing intervention on reducing incidence of peritoneal dialysis associated peritonitis
MA Miguo1 HE Xin2 CHEN Taiai1
1.Department of Nephrology, People's Hospital of Qionghai City, Hainan Province, Qionghai 571400, China;
2.Department of Nursing, People's Hospital of Qionghai City, Hainan Province, Qionghai 571400, China
Abstract：Objective To integrative the effect of nursing intervention on reducing incidence of peritoneal dialysis associated peritonitis. Methods From January 2014 to December 2015, in Department of Nephrology, People's Hospital of Qionghai City, 87 patients with peritoneal dialysis were selected, according to random number table method, they were divided into the observation group (44 cases) and control group (43 cases). The observation group was given the nursing intervention established by the hospital. The control group was given routine nursing care. The incidence of peritonitis associated peritoneal dialysis in the two groups were compared. Results Among 87 patients, 28 cases occurred peritonitis, with a rate of 32.18%. The incidence of the observation group (8 cases) was significantly lower than the control group (20 cases) (P < 0.05). The main cause of peritonitis associatation peritoneal dialysis was non-strict aeptic operation (50.0%). In 28 cases, 19 patients (67.86%) had positive bacterial culture, 9 cases (47.37%) were gram positive bacteria, 7 cases (36.84%) were gram negative bacteria, and 3 cases (15.79%) were fungi. Gram positive bacteria was susceptible to Vancomycin, and the resistance rate was 0.00%. Gram negative bacteria was sensitive to Imipenem, and the resistance rate was 0.00%. Conclusion Peritoneal dialysis related peritonitis has a lot of causes. The nursing intervention can effectively reduce the risk of peritonitis, improve the life quality of patients, and protect the peritoneal function of patients. It plays a positive role in the treatment of patients with peritoneal dialysis.
2018, Vol. 15 
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