摘要
目的 探讨对血液透析患者实施环节质量控制联合风险分级护理的效果及对中心静脉导管感染的影响。方法 随机抽选2024年6月-2025年6月本院收治的80例血液透析患者，按随机数字表法分组，各40例。对照组予以风险分级护理，观察组同时联合环节质量控制干预，评估对比2组的干预效果。结果 观察组较对照组的CRI及CRBSI的发生率均低（P＜0.05）。观察组较对照组的平均导管留置时间更长，而护理质量和满意度评分均比对照组更高（P＜0.05）。结论 对血液透析患者开展环节质量控制联合风险分级护理模式，可有效减少中心静脉导管有关感染率，延长导管留置时间，提高护理质量和满意度，总体护理价值高，值得采纳。
关键词： 环节质量控制；风险分级护理；血液透析；中心静脉导管；导管相关感染
Abstract
Objective To explore the effect of implementing link quality control combined with risk grading nursing on hemodialysis patients and its impact on central venous catheter infection. Methods 80 hemodialysis patients admitted to our hospital from June 2024 to June 2025 were randomly selected and divided into groups using a random number table method, with 40 patients in each group. The control group received risk grading nursing, while the observation group received joint quality control interventions. The intervention effects of the two groups were evaluated and compared. Results The incidence of CRI and CRBSI in the observation group was lower than that in the control group (P<0.05). The average catheter retention time of the observation group was longer than that of the control group, and the nursing quality and satisfaction scores were higher than those of the control group (P<0.05). Conclusion Implementing a quality control combined with risk grading nursing model for hemodialysis patients can effectively reduce the infection rate related to central venous catheters, prolong catheter retention time, improve nursing quality and satisfaction, and has high overall nursing value, which is worth adopting.
Key words： Quality control in the process; Risk grading nursing; Hemodialysis; Central venous catheter; Catheter related infections
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