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目的探讨一次性护理包在血液透析上下机操作中的应用效果。方法采用方便抽样,选取2014年1-12月入我科进行血液透析患者112例,按透析日进行分组,周一、周三及周五透析为观察组(采用一次性护理包);周二、周四、周六透析为对照组(采用传统方法护理),各56例。观察两组患者在血液透析中护士的操作时间、患者的满意度、卫生材料成本核算以及交叉感染率等。结果观察组护士操作总时间为(9.38±0.59)min,低于对照组护士操作总时间(11.29±0.71)min;观察组操作技能满意度及舒适满意度分别为96.43%,98.21%,对照组操作技能满意度及舒适满意度分别为83.93%,82.14%,差异均有统计学意义(P<0.05);观察组卫生材料成本低于对照组,差异均有统计学意义(P<0.05)。观察组交叉感染率虽低于对照组,但差异并无统计学意义(P>0.05)。结论一次性护理包在血液透析上下机操作中应用,可节省护士操作时间,降低卫生材料成本及交叉感染率,提高患者的满意度,有利于在临床中推广使用。
Objective To explore the effect of disposable care package on the operation of hemodialysis machine. Methods A total of 112 hemodialysis patients admitted to our department from January to December in 2014 were enrolled in this study. Patients were divided into groups on dialysis day, dialysis group on Monday, Wednesday and Friday (using one-time nursing kit), and on Tuesday and Thursday , Dialysis on Saturday as the control group (using traditional methods of care), 56 cases each. The nurses’ operation time, patient satisfaction, cost of health materials and cross-infection rate were observed in two groups of patients during hemodialysis. Results The total operation time of nurses in the observation group was (9.38 ± 0.59) min, which was lower than that of the control group (11.29 ± 0.71) min. The operation skill satisfaction and comfort satisfaction of the observation group were 96.43% and 98.21% The satisfaction degree of operation skill and comfort satisfaction were 83.93% and 82.14% respectively, the difference was statistically significant (P <0.05). The cost of health materials in the observation group was lower than that of the control group (P <0.05). Although the cross infection rate in the observation group was lower than that in the control group, the difference was not statistically significant (P> 0.05). Conclusion The one-off nursing packet can be used in hemodialysis operation, which can save the operation time of nurses, reduce the cost of hygiene materials and the rate of cross-infection, improve patient satisfaction and promote the use in clinical practice.