由于家庭操作管理导致腹腔透析相关腹腔炎的危险因素:回顾性队列研究
Linlin Pan1, Mengjia Wang1, Qiaoqin Yu1
1Department of Nursing, Kidney Disease Center, the First Affiliated Hospital, Zhejiang University School of Medicine; Institute of Nephrology, Zhejiang University, Key Laboratory of Kidney Disease Prevention and Control Technology, Zhejiang Province, Zhejiang Clinical Research Center of Kidney and Urinary System Disease, Hangzhou, China.
Journal of clinical nursing
|December 9, 2024
概括
不适当的家庭透析实践,如液体的不良储存,不检查盖子,以及不充分的洗手,会增加腹膜透析相关腹膜炎 (PDAP) 的风险. 患者教育是预防这种感染的关键.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 预防传染病 预防传染病
- 患者安全 患者安全
背景情况:
- 腹膜炎是腹膜透析 (PD) 的严重并发症.
- 基于家庭的操作管理对PD患者的治疗结果起着至关重要的作用.
- 了解PD相关腹膜炎 (PDAP) 的风险因素对于有效管理至关重要.
研究的目的:
- 确定与家庭手术相关的风险因素,导致腹膜透析相关腹膜炎 (PDAP).
主要方法:
- 从2019年1月到2022年12月,对458名维护PD患者进行了观察后期分析.
- 收集的一般特征和家庭操作数据.
- 后勤回归分析以确定PDAP的独立风险因素.
主要成果:
- 在458名患者中,有82名患者出现PDAP.
- PDAP的独立风险因素包括年龄较大,糖尿病,更长的透析年份,透析液的不适当储存,未能验证保护帽的质量,以及洗手不良.
- 白天的门诊PD模式显示与PDAP有负面关联.
结论:
- 透析液的不当储存,保护帽的不充分检查和手洗不当是PDAP在家庭PD管理中的重要风险因素.
- 护士应该专注于培训和再培训患者在这些关键的家庭操作方面.
- 赋予患者自我管理技能是预防PDAP的关键.
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