集束化护理预防ICU患者中心静脉导管相关性血流感染的效果

Effect of cluster bundled nursing to prevent central venous catheter relativity bloodstream infection of ICU patient

目的：探讨集束化护理措施预防ICU患者中心静脉导管相关性血流感染的效果。方法：选取2013年1~9月收治的287例留置中心静脉导管的重症患者作为对照组,选取2014年1~9月收治的342例留置中心静脉导管的重症患者为试验组,对照组实施常规护理,试验组实施集束化护理。对两组患者的导管相关性血流感染发生情况、住院时间、导管留置时间进行对比分析。结果：试验组导管相关性血流感染发生情况少于对照组,差异有统计学意义（P〈0.05）。试验组患者住院时间比对照组明显短,两组比较有差异有统计学意义（P〈0.05）。试验组导管留置时间也比对照组患者短,两组比较差异有统计学意义（P〈0.05）。结论：集束化护理能有效预防ICU患者中心静脉导管相关性血流感染,进一步优化护理措施。

Objective：To discuss the effect of bundled nursing to prevent central venous catheter relativity bloodstream infection of ICU patient. Methods： Selected 287 cases of critical central venous catheter patients from January to September of 2013 in our hospital as control group, and 342 cases of critical central venous catheter patients from January to September of 2014 in our hospital as experimental group, conduct regular nursing on control group while bundled nursing on experimental group, and compared the catheter relevant bloodstream infection condition, hospital stays, catheter indwelling time be- tween the two groups. Resuhs ： Catheter relevant bloodstream infection occurrence rate from experimental group was less than control group, which has statis- tical significance （ P 〈 0.05 ）, hospital stays condition from experimental group was shorter than control group, the comparison has statistical significance（ P 〈 0.05 ）, catheter indwelling time from experimental group was also shorter than control group, the comparison has statistical significance （P 〈 0.05 ）. Con- clusion ： Bundled nursing can prevent central venous catheter relativity bloodstream infection of ICU patient effectively and optimize the nursing measurement.