徐琴

【摘要】 目的：探討?？苽€(gè)性化護(hù)理對(duì)血液透析患者院感控制效果，為護(hù)理服務(wù)提供指導(dǎo)。方法：選取2018年3月-2019年2月于筆者所在醫(yī)院進(jìn)行血液透析患者78例進(jìn)行研究，按隨機(jī)數(shù)字表法分為觀察組和對(duì)照組，各39例。對(duì)照組給予常規(guī)護(hù)理，觀察組給予?？苽€(gè)性化護(hù)理，比較兩組醫(yī)院感染率、醫(yī)院感染預(yù)防知識(shí)評(píng)分和滿意度。結(jié)果：觀察組醫(yī)院感染率（5.12%）明顯低于對(duì)照組（25.64%），差異有統(tǒng)計(jì)學(xué)意義（P<0.05）;護(hù)理后，兩組醫(yī)院感染預(yù)防知識(shí)評(píng)分均較護(hù)理前明顯提高，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）;護(hù)理后，觀察組醫(yī)院感染預(yù)防知識(shí)評(píng)分為（35.81±3.96）分，

顯著高于對(duì)照組的（32.44±3.75）分，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）;觀察組滿意度為97.43%，明顯高于對(duì)照組的74.36%，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論：專科個(gè)性化護(hù)理能明顯改善血液透析患者院感控制效果，增強(qiáng)患者醫(yī)院感染預(yù)防意識(shí)并提高滿意度，值得臨床推廣使用。

【關(guān)鍵詞】 血液透析 醫(yī)院感染 ?？苽€(gè)性化護(hù)理 滿意度

doi：10.14033/j.cnki.cfmr.2020.10.033 文獻(xiàn)標(biāo)識(shí)碼 B 文章編號(hào) 1674-6805（2020）10-00-03

Research on Hospital Infection Control of Hemodialysis Patients by Specialized Individualized Nursing/XU Qin. //Chinese and Foreign Medical Research， 2020， 18（10）： -82

[Abstract] Objective： To explore the effect of specialized individualized nursing on hospital infection control of hemodialysis patients， and provide guidance for nursing services. Method： A total of 78 cases who underwent hemodialysis in our hospital from March 2018 to February 2019 were selected for the study. According to the random number table method， the patients were divided into the observation group and the control group， 39 cases in each group. The control group was given routine nursing， and the observation group was given specialized individualized nursing. The incidences of nosocomial infection， the scores of prevention knowledge of nosocomial infection and satisfaction were compared between the two groups. Result： The incidence of nosocomial infection in the observation group was 5.12%， which was significantly lower than 25.64% of the control group， and the difference was statistically significant （P<0.05）. After nursing， the scores of prevention knowledge of nosocomial infection of the two groups were significantly higher than those before nursing， and the differences were statistically significant （P<0.05）. After nursing， the score of prevention knowledge of nosocomial infection in the observation group was （35.81±3.96） points， which was higher than （32.44±3.75） points of the control group， and the difference was statistically significant （P<0.05）. The satisfaction of the observation group was 97.43%， which was significantly higher than 74.36% of the control group， and the difference was statistically significant （P<0.05）. Conclusion： Specialized individualized nursing can significantly improve the hospital infection control effect of hemodialysis patients， enhance the awareness of prevention of nosocomial infection， and improve patients satisfaction， which is worthy of clinical application.

綜上所述，給予血液透析患者專科個(gè)性化護(hù)理干預(yù)的效果顯著，可增強(qiáng)其醫(yī)院感染預(yù)防控制意識(shí)，降低醫(yī)院感染率，提高患者滿意度，值得臨床推廣使用。

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（收稿日期：2019-12-04） （本文編輯：李盈）