血液透析医院感染危险因素分析与护理干预措施

摘要

目的：分析引发血液透析医院感染的危险因素，探究护理干预措施。方法：收治血液透析患者420例，从危险因素、临床护理特征两个方面进行回顾分析。结果：血液透析患者发生医院感染98例，感染比例23.3%。皮肤感染1例、中心静脉导管感染3例、泌尿系感染12例、造瘘口感染2例、呼吸道感染80例。患者一般资料(性别、年龄)、住院时间、使用抗菌药物情况、未感染时激素使用情况、留置中心静脉导管与尿管时间、患有糖尿病与否等皆会引发医院感染。结论：多种危险因素可促使血液透析患者医院感染，通过采取必要的护理干预措施可提高医疗质量。%Objective:To analyze the risk factors of hemodialysis hospital infection and to explore the nursing intervention measures.Methods:420 patients treated by hemodialysis were selected.We made a retrospective analysis from two aspects of the risk factors and clinical nursing characteristics.Results:98 hemodialysis patients occurred nosocomial infection,the infection rate of 23.3%.1 case of skin infection,3 cases of central venous catheter,12 cases of urinary system,2 cases of fistula and 80 cases of respiratory tract.The general information(gender,age)hospitalization time,use of antimicrobial drugs,hormone use in the case of no infection,indwelling central venous catheter and catheter time,suffering from diabetes or not these would all lead to hospital infection.Conclusion:A variety of risk factors can lead to the occurrence of hospital infection in hemodialysis patients.By taking necessary nursing intervention measures,the medical quality can be improved.