Effects of course diary in preventing lumen catheter infection in hemodialysis patients

Abstract

Objective To explore the effects of course diary in preventing lumen catheter infection in patients who received hemodialysis (HD) . Methods Totally 105 patients who received HD in Civil Aviation General Hospital between January 2013 and December 2016 were selected by convenience sampling and divided into an observation group (53 patients) and a control group (52 patients) according to the random number table. Patients in the control group received conventional nursing, while patients in the observation group, on this basis, were supervised by nurses to implement the course diary including content related to infection prevention, and the nurses undertook to keep records. 12 weeks later, the blood flow volume, urea clearance index (KT/V) , incidence of insufficient blood flow and infection rate were compared between the patients in the two groups. Results The patients in the control group showed a higher blood flow volume than the patients in the observation group (P 0.05) before the intervention, but the patients in the observation group showed a higher blood flow volume and urea clearance index than the patients in the control group (P 0.05) before the intervention, while the patients in the observation showed a lower incidence of insufficient blood flow than the patients in the control group (P<0.05) after the intervention. And the patients in the observation group showed a lower infection rate than the patients in the control group (P<0.05) after the intervention. Conclusions Course diary can help to improve the blood flow volume and urea clearance index, reduce the incidence of pathogens, and lower the infection rate in patients receiving HD with lumen catheter. Key words: Renal dialysis; Infection; Course diary