总结1例腹膜透析导管隧道感染患者的护理经验。护理要点包括：首先,开展综合性评估,涵盖导管相关性感染、腹膜炎、营养状况与居家腹透操作危险因素等方面,以明确感染程度与个体化需求;其次,实现局部精准护理,在超声引导下进行阿米卡星点状注射,联合脓肿切开引流与留置针脉冲式冲洗;最后,开展多维综合护理,包括导管出口规范化护理、生姜外敷促进硬结消散,个体化营养支持、操作再培训与心理疏导等。经28 d综合治疗与护理,患者感染症状得到明显控制,局部红肿消退,导管功能良好,感染未复发,顺利出院。
Abstract
To summarize the nursing experience of a patient with peritoneal dialysis catheter tunnel infection. The key points of nursing include: first, carry out a comprehensive assessment, covering catheter-associated infection, peritonitis, nutritional status and risk factors for home dialysis to clarify the degree of infection and individualized needs; Secondly, local precision care is realized, with amikacin punctular injection under ultrasound guidance, combined with abscess incision and drainage and pulsed irrigation with indwelling needles. Finally, multi-dimensional comprehensive nursing is carried out, including standardized care for catheter outlet, external application of ginger to promote the dissipation of induration, individualized nutritional support, operation retraining and psychological counseling. After 28 days of comprehensive treatment and nursing, the patient's infection symptoms were significantly controlled, local redness and swelling subsided, the catheter function was good, the infection did not recur, and he was discharged from the hospital smoothly.
关键词
腹膜透析导管 /
隧道感染 /
点状注射 /
多维综合护理 /
超声引导 /
个案护理
Key words
Peritoneal dialysis catheter /
Tunnel infection /
Spot injection /
Multidimensional comprehensive nursing /
Ultrasound guidance /
Case care
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参考文献
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基金
2023常德市科技研发创新引导项目（2023YD32）
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