中国血液净化

中国血液净化 ›› 2021, Vol. 20 ›› Issue (07): 498-500.doi: 10.3969/j.issn.1671-4091.2021.07.016

• 护理研究 • 上一篇    下一篇

IV3000 敷料早期预防早期腹膜透析导管相关性感染效果的分析

李君1,安原1,雷洁洁1,聂丽红1,谢小街1   

  1. 1中国人民解放军联勤保障部队第九○八医院肾内科
  • 收稿日期:2021-02-18 修回日期:2021-03-26 出版日期:2021-07-12 发布日期:2021-07-21
  • 通讯作者: 谢小街 94048071@qq.com E-mail:94048071@qq.com
  • 基金资助:
    江西省卫生健康委科技计划课题(20204800)

Effect of IV3000 dressing on the prevention of early catheter-related infection in peritoneal dialysis patients

  1. 1Department of Nephrology, The 908 Hospital of Joint Logistics Support Force of Chinese PLA, Jiangxi 335000, China
  • Received:2021-02-18 Revised:2021-03-26 Online:2021-07-12 Published:2021-07-21
  • Contact: jie xiaoxie E-mail:94048071@qq.com

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摘要： 【摘要】目的探讨IV3000 敷料早期预防早期腹膜透析导管相关性感染的应用效果。方法采用方便抽样法选取中国人民解放军联勤保障部队第九○八医院肾内科腹膜透析置管术患者43 例，随机分为试验组和对照组。试验组使用IV3000 敷料进行导管出口处护理，对照组使用3L 伤口敷料。比较2 组6周后导管出口处总评分、导管相关性感染、皮肤异常表现、敷料使用舒适度、敷料完整性、换药总次数及材料总费用情况。结果试验组导管出口总评分(Z =-4.644, P＜0.001)、导管相关性感染(x2=8.419, P=0.016)及皮肤异常表现发生率(x2=23.872, P＜0.001)低于对照组，敷料使用舒适度(x2=14.614, P＜0.001)及完整性(x2=21.428, P＜0.001)好于对照组，换药总次数较对照组少(t=-16.321, P＜0.001)，差异均有统计学意义；试验组换药材料费用较对照组少，但差异无统计学意义(t= -1.453, P=0.154)。结论在腹膜透析导管出口处早期护理中使用IV3000 敷料，可有效预防导管相关性感染，减少非计划性换药次数，使用舒适度和安全性高，值得推广应用。

关键词: IV3000 敷料, 腹膜透析, 导管出口处, 早期护理, 导管相关性感染

Abstract: 【Abstract】Objective To investigate the effect of IV3000 dressing on the prevention of early catheter-related infection in peritoneal dialysis (PD) patients. Methods A total of 43 patients with peritoneal dialysis catheters were randomly divided into experimental group or control group. The experimental group used IV3000 dressing for catheter outlet nursing, and the control group used 3L wound dressing. The exit site score, catheter-related infection, skin abnormalities, comfort degree of the patients, dressing integrity, dressing exchange frequency, and expense of the dressing were compared after the treatment for 6 weeks between the two groups. Results Compared with the control group, the experimental group had lower exit site score (Z=-4.644, P<0.001), lower catheter-related infection rate (x2=8.419, P=0.016), lower skin abnormality rate (x2=23.872, P＜0.001), less dressing exchange frequency (t=-16.321, P＜0.001), better comfort degree of the patients (x2=14.614, P＜0.001) and higher dressing integrity (x2=21.428, P＜0.001). The expense of the dressing was similar between the two groups (t=-1.453, P=0.154). Conclusion IV3000 dressing used in the early nursing of peritoneal dialysis catheter outlet had a better effect on the prevention of catheter-related infection and unplanned dressing exchange. IV3000 dressing was relatively comfortable and safe, and can be widely used clinically.

Key words: IV3000 dressing, Peritoneal dialysis, Catheter outlet, Early nursing, Catheter- related Infection

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