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目的探讨追踪方法对血液透析患者医院感染和临床护理效果的影响。方法选取2014年6月-2015年6月我院实施追踪法前收治的血液透析患者116例和2015年7月-2016年7月我院实施追踪法后收治的血液透析患者116例。比较两组患者的感染分布、医院感染管理质量得分和临床护理效果。结果实施后8例(6.88%)患者发生医院感染,低于实施前19例(16.36%),差异有统计学意义(P<0.05);患者医院感染的主要发生部位分别为呼吸道和皮肤。实施后医院感染管理质量得分、患者的临床护理效果均高于实施前,差异有统计学意义(P<0.05)。结论追踪方法能够降低血液透析患者医院感染率,提高医院感染管理质量得分和患者满意度,可作为血液透析病区常规的感染控制方法推广运用。
Objective To investigate the effect of follow-up on nosocomial infection and clinical nursing in hemodialysis patients. Methods One hundred and sixteen patients with hemodialysis who were admitted to our hospital from June 2014 to June 2015 and 116 patients who received hemodialysis after our follow-up method from July 2015 to July 2016 were selected. The infection distribution, nosocomial infection quality score, and clinical care outcomes were compared between the two groups. Results Eighty (6.88%) patients developed nosocomial infection after operation, which was lower than that of 19 patients (16.36%) before implementation. The difference was statistically significant (P <0.05). The main site of nosocomial infection was respiratory tract and skin. After the implementation of the quality of hospital infection management score, the clinical effect of patients were higher than before implementation, the difference was statistically significant (P <0.05). Conclusions Tracing method can reduce the nosocomial infection rate in hemodialysis patients and improve the quality of hospital infection management scores and patient satisfaction, which can be used as a routine infection control method in hemodialysis patients.