血液透析导管相关性感染影响因素研究及其护理对策

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Abstract Objective To study the influencing factors and nursing strategies of catheter-related infection (CRBSI) in hemodialysis patients. Methods From January 2016 to December 2017, 450 patients with hemodialysis in West China Hospital of Sichuan University who had established venous catheter access were selected as subjects for retrospective analysis. The general data, clinical treatment plan and the information of postoperative infection of the patients were collected. Multiple factors Logistic regression analysis was used and related nursing countermeasures were worked out. Results The incidence of CRBSI in hemodialysis patients was 18.22% (82/450). All patients were divided into uninfected group and infected group. The results of univariate analysis showed that: these two groups have obvious difference in age, WBC count (WBC), erythrocyte count (RBC), hematocrit (HCT), hemoglobin (Hb), creatinine (SCr), urea nitrogen (BUN), parathyroid hormone (PTH) and indwelling catheter time, times of intubation and diabetes mellitus, and the differences were statistically significant (P < 0.05). Multivariate analysis showed that age (OR = 2.084, 95%CI: 1.812-15.825, P = 0.007), catheterization time (OR = 2.556, 95%CI: 1.842-21.794, P = 0.000), hemoglobin (OR = 1.988, 95%CI: 1.235-14.506, P = 0.013) and diabetes mellitus (OR = 2.646, 95%CI: 2.005-7.487, P = 0.026) were independent risk factors for CRBSI in hemodialysis patients. Conclusion The time of catheterization, age, hemoglobin and diabetes mellitus are the risk factors of CRBSI in hemodialysis patients with venous catheterization. It is necessary to improve the aseptic awareness and operation level of nurses when making clinical nursing plan.

Key words： Hemodialysis Catheter-related infection Influencing factors Nursing strategy

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	WANG Jing1 HUANG Wenzhi2 CHEN Junjun1 LIN Daxiu1

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WANG Jing1 HUANG Wenzhi2 CHEN Junjun1 LIN Daxiu1. Study on influencing factors of catheter-related infection in hemodialysis patients and nursing countermeasures[J]. 中国医药导报, 2019, 16(16): 174-177.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I16/174

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