层级护理对肺癌患者PICC置管相关血流感染的影响

Effects of level nursing on PICC-related bloodstream infections patients with lung cancer

目的分析层级护理对肺癌患者经由外周中心静脉置管(PICC)相关血流感染(CRBSI)因素的影响。方法选取2011年1月-2014年6月确诊为肺癌且实施PICC穿刺患者,按照实施层级护理前后分为对照组206例和观察组356例。比较2组CRBSI发生率、置管时间、满意度的差异,同时,对实施前后护理人员相关知识掌握程度进行分析。结果观察组发生CRBSI 1例(0.28%)、置管时间(142.2±22.7)d,对照组发生CRBSI 4例(1.94%)、置管时间(89.6±19.5)d。观察组满意程度明显高于对照组(Z=-9.582,P<0.01)。观察组护理人员护理知识掌握程度好于对照组。结论采取不同层级人员组合护理模式不仅能提高护理人员自身知识水平,更有助于降低CRBSI的发生率,延长置管时间,从而提高患者治疗效果及对护理工作的满意度。

Objective To study the effects of level nursing on PICC-related bloodstream infections patients with lung cancer.Methods From January 2011 to June 2014,patients diagnosed as lung cancer and given PICC were divided into control group（n=206）and observation group（n=356）according to before and after implementing level nursing.The incidence of CRBSI,indwelling time and satisfaction of 2groups were compared,and the mastery of relevant knowledge of nurses was analyzed.Results Only one patient（0.28%）had CRBSI in the observation group,the indwelling time was（142.2±22.7）d.Four patients（1.94%）had CRBSI in the control group,the indwelling time was（89.6±19.5）d.The satisfaction in the observation group was higher than that in the control group（Z=-9.582,P〈0.01）.The mastery of relevant knowledge of nurses in the observation group was better than that in the control group.Conclusion Different levels of nursing staff combination can impove knowledge levels of nurses,reduce the rate of CRBSI,extend the indwelling time,thereby it can improve patients＇ outcomes and satisfaction to care.