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护理干预预防中心静脉导管相关性感染的效果评价 被引量:12

Efficacy of nursing interventions in prevention of central venous catheter-related infections
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摘要 目的分析护理干预在预防ICU中心静脉导管相关性感染中的应用效果。方法采用目标性监测方法,进行护理干预,包括:严格无菌技术、缩短导管留置时间、选择合适置管部位及导管、敷料的选择与更换、导管接头与输入装置的护理和防止血栓形成,对实施护理干预前后ICU中心静脉导管相关性感染的发生率进行统计分析。结果实施护理干预措施之后,总置管天数明显增加(P<0.05),中心静脉导管相关性感染率从2008年的7.67/千导管日、2009年的5.69/千导管日,下降至2010年的2.28/千导管日(P<0.05)。结论护理干预能够有效降低ICU中心静脉导管相关性感染的发生率。 OBJECTIVE To analyze the effect of nursing interventions in prevention of central venous catheter related infections in ICU. METIIODS Different means of targeted surveillance and nursing interventions were carried out, including implementing strict aseptic techniques, shortening the time of catheter indwelling, selecting the appropriate site and catheter, choosing and replacing dressing, nursing of the catheter connector and input device, and preventing thrombopoiesis. The incidence of central venous catheterrelated infections in ICU before and after implementing the nursing interventions ~vas statistical analyzed. RESULTS The total indwelling catheter days were significantly increased after the implementation of nursing interventions (P〈I0.05), the incidence of central venous c^theterrelated infections decreased to 2. 28/thousand catheterdays in 2010, which was 7. 67/ thousand catheterdays in 2008 and 5.69/thousand catheterdays in 2009 (P〈10.05). CONCLUSION Implementation of the nursing interventions significanl:ly reduces the incidence rate of central venous catheterrelated infections.
出处 《中华医院感染学杂志》 CAS CSCD 北大核心 2012年第7期1351-1352,共2页 Chinese Journal of Nosocomiology
基金 江苏省苏北人民医院院级课题(yzucms0941)
关键词 护理干预 中心静脉导管相关性感染 效果评价 Nursing intervention Central venous catheter-related infection Effect evaluation
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