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居家透析者发生细菌性腹膜炎的相关因素分析

  来源:120online      日期:2007-05-07
中华护理杂志2000年第1期第35卷护理研究作者:钱惠珠 姚克勤 庄维娟 黄燕 万凌单位:江苏省常州市第一人民医院 213003关键词:持续性不卧床腹膜透析;腹透相关性细菌性腹膜炎;护理干预;家庭消毒...

  摘 要:对33例持续性不卧床腹膜透析(CAPD)者居家透析情况作了1年的科研调查,研究腹透相关性细菌性腹膜炎的家庭内影响因素及相应的护理干预的效果。结果①家庭腹透室操作用桌面细菌培养合格率、腹透管皮肤出口处细菌检出率、性别、腹透室空气及操作者手细菌培养合格率和腹透管皮肤出口处感染对细菌性腹膜炎的发生有重要意义。Logistic回归分析显示前3者是影响的主要因素;②护理干预后腹膜炎发生率显著下降。提示使居家CAPD者保持个人卫生、加强家庭透析室的消毒和规范操作非常重要。

Analysis on Related Factors of

  Home CAPD Patients' Bacterial Peritonitis

Qian Hui-zhu,Yao Ke-qin,Zhuang Wei-juan,et al

  (Chinese Journal of Nursing,2000,35(1):13.)

  Abstract:Thirty-three home CAPD(continuous ambulatory peritoneal dialysis) patients were selected in the 1-year-period study.Every patient received effective nursing intervention and scheduled investigation.The results showed that ①sex,the positive rate of bacterial culture of peritoneal dialysis room table-top,the bacterial positive rate of outlet of the sinus tract surrounding the catheter were 3 major factors via Logistic regression analysis. After intervention,the morbidity of CAPD related bacterial peritonitis decreased significantly (P<0.05);②age,the individual immunity status,his/her educated level had no obvious influence on the morbidity of bacterial peritonitis (P all>0.05).It is suggested that giving training on sterilization and related-operation frequently to home CAPD clients (especially,men) may decline the morbidity of CAPD related bacterial peritonitis.

  Author's address:The 3rd Hospital,SuZhou Medical College( The First People's Hospital of Changzhou),Changzhou,213003

  Key words:Home CAPD Bacterial peritonitis Nurse intervention  Home sterilization▲

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