目的 总结妊娠合并尿毒症患者血液透析的护理措施。 方法 回顾性分析2001年3月－2012年6月收治的15例妊娠合并尿毒症患者行血液透析的临床资料。患者年龄平均30.5岁；2例为早期妊娠，孕13周，其中1例伴有尿毒症急性发作，其余均为中晚期妊娠，孕24+周，均血清肌酐＞445 μmol/L（5 mg/dL），尿氮素＞20 mmol/L。15例患者入院后即刻行血液透析治疗，治疗过程中进行必要的心理干预，在透析前、中、后护理中，密切观察患者心理状况，孕妇各项生命体征及胎儿胎心胎动等，择期终止妊娠。 结果 9例经维持性血液透析治疗后，病情稳定，顺利产下胎儿；另外3例患者经血液透析治疗后病情稳定，其中1例产下一死婴，另2例行人工钳取术终止妊娠；还有3例患者由于经济条件限制而中途退出治疗。 结论 适时的干预和加强妊娠合并尿毒症患者血液透析的护理，可取得很好的治疗效果，有可能改变妊娠的结果。
Objective To explore the influencing factors and improving measures of hand hygiene among healthcare workers. Methods From June to August 2016, several healthcare workers from clinical departments and nosocomial infection control department in Chengdu were selected by purposive sampling method. Data was collected by individual in-depth interviews, and was three-rank coded by Nvivo 8 software based on Grounded Theory. Results After three-rank coding, 6 important influencing factors were generalized which were re-categorized into 3 levels: personal cognition, behavior capacity and social support. At the last, the whole framework of the theory was constructed through core coding. Conclusion In clinical practice, we should take reasonable measures to strengthen the training of hand hygiene, improve the hand hygiene facilities, strengthen supervision and management, and effectively improve the implementation rate of hand hygiene.