The impact of anticipatory nursing on catheter-related bloodstream infections in blood purification
预见性护理对血液净化导管相关性血流感染的影响

摘要

目的 分析血液净化导管相关性血流感染中开展预见性护理的价值。方法 选取2022年11月至2025年5月间我院收治的40例血液净化治疗患者，以随机数字表法分为常规组（传统护理）20例和实验组（预见性护理）20例。对比组间静脉导管感染发生情况、各项时间指标、心理状态。结果 干预后，实验组的静脉导管感染发生率低于常规组（P＜0.05）；实验组的SAS、SDS评分低于常规组（P＜0.05）；实验组较常规组的导管留置时间和出现CRBSI时间更高，住院时间和CRBSI持续时间更短（P＜0.05）。结论 将预见性护理用于血液净化导管相关性血流感染中的优势显著，能够有效减轻患者的静脉导管感染发生率，减轻负面情绪，改善临床指标，促进病情恢复，建议推广。

Abstract

Objective To analyze the value of prophylactic care in preventing catheter-related bloodstream infections in hemodialysis patients.
Methods A total of 40 patients receiving hemodialysis treatment at our hospital from November 2022 to May 2025 were selected and divided into a control group (traditional care) with 20 cases and an experimental group (prophylactic care) with 20 cases using a random number table method. The incidence of venous catheter infections, various time indicators, and psychological status were compared between the two groups.
Results After intervention, the incidence of venous catheter infections in the experimental group was lower than that in the control group (P<0.05); the SAS and SDS scores in the experimental group were also lower than those in the control group (P<0.05); the duration of catheter placement and the time of CRBSI in the experimental group were longer, while the length of hospital stay and the duration of CRBSI were shorter (P<0.05).
Conclusion   The use of prophylactic care in preventing catheter-related bloodstream infections in hemodialysis patients has significant advantages, effectively reducing the incidence of venous catheter infections, alleviating negative emotions, improving clinical outcomes, and promoting recovery. It is recommended for widespread adoption.