关键词: 腹膜透析, 导管相关性感染, 导管外出口护理, 自我护理

Abstract:

Objective To investigate the status of exit-site care among peritoneal dialysis patients through a multicenter survey in Beijing and Shenzhen,and to analyze the influencing factors of patients’ exit-site care practice. Methods A self-designed questionnaire was used to investigate the exit-site care practice of 1,204 peritoneal dialysis patients who were followed up regularly in 12 peritoneal dialysis centers from Beijing and Shenzhen. The practice of exit-site care was divided into 5 dimensions:aseptic technique,assessment of exit-site,dressing change,catheter protection method and catheter fixation,with a full score of 50. Results The general score of exit-site care of 1,204 peritoneal dialysis patients in Beijing and Shenzhen was 44.76±5.85,while the scores of exit-site assessment and aseptic technique were relatively low. Univariate analysis showed that with or without history of exit-site infection,different operators and different locations of catheter outlet had different scores of exit-site care practice（P<0.05）. Multiple linear regression results showed that the factors influencing the general score of exit-site care practice were dialysis duration,infection history,dressing change operator,patient education level and catheter outlet location with an order from high to low. Conclusion The practice status of exit-site care in peritoneal dialysis patients from Beijing and Shenzhen was generally acceptable,while the practice of exit-site care assessment and aseptic technique were relatively poor. Further retraining would be needed,especially for patients with long dialysis time and a history of infection.

Key words: Peritoneal Dialysis, Catheter Related Infection, Exit-Site Care, Self Care