Clinical Analysis and Nursing Countermeasures of Hemodialysis Complicated Infectionin Stage 5 Chronic Kidney Disease
慢性肾脏病5期血液透析合并感染的临床分析与护理对策

摘要

目的 本文对慢性肾脏病5期血液透析合并感染的因素与临床护理措施进行深入分析。方法 入组样本为2021年3月-2022年3月在我院血透室进行血液透析的110例患者，对比两组血透患者感染发生情况、原发疾病感染率和感染患者与非感染患者实验室指标以及护理质量。结果 感染者患者原发疾病中慢性肾小球肾炎占比最高，其次为糖尿病和高血压，最后为狼疮性肾炎，传统护理组的患者感染率明显高于综合护理组的患者，综合护理组的护理质量显著高于传统护理组，P＜0.05说明存在对比意义，感染患者的ALB（血清白蛋白）、Hb（血红蛋白）低于非感染患者，CRP（C反应蛋白）、Scr（血肌酐）却高于非感染患者，P＜0.05说明存在对比意义；但BUN（血清尿素氮）无明显变化P＞0.05说明不存在对比意义。结论 对慢性肾脏病5期行透析的患者应用综合护理的实际临床效果良好，其能够对护理质量产生积极影响，降低感染，值得将其科学利用并广泛推广。

Abstract

Objective to analyze the factors and clinical nursing measures of chronic kidney disease (CKD) complicated with infection in phase 5 hemodialysis.
Methods: the enrolled samples were 110 patients who underwent hemodialysis in the hemodialysis room of our hospital from March 2021 to March 2022. The incidence of infection, infection rate of primary diseases, laboratory indicators of infected and non infected patients and nursing quality were compared between the two groups.
Results: the proportion of chronic glomerulonephritis in the primary diseases of infected patients was the highest, followed by diabetes and hypertension, and finally lupus nephritis. The infection rate of patients in the traditional nursing group was significantly higher than that in the comprehensive nursing group, and the nursing quality of the comprehensive nursing group was significantly higher than that in the traditional nursing group, P, CRP (C-reactive protein) and SCR (serum creatinine) were higher than those in non infected patients (P; But bun (serum urea nitrogen) had no significant change (P > 0.05), indicating that there was no comparative significance.
Conclusion  : the practical clinical effect of comprehensive nursing care for patients with chronic kidney disease undergoing dialysis at stage 5 is good. It can have a positive impact on the quality of nursing and reduce infection. It is worth using scientifically and popularizing widely.