循证护理在PICC小组控制导管相关感染中的作用

The Effect of Evidence-based Nursing in PICC Group Control on Catheter Related Infections

目的了解循证护理在PICC小组控制导管相关性感染中的作用。方法选取PICC小组成立后实施外周静脉置入中心静脉导管(PICC)的126例患者按随机数字表法分成研究组和对照组各63例。对照组由PICC小组按常规进行置管、维护等操作,研究组由PICC小组在常规操作的基础上实施循证护理。对比两组导管相关性感染的发生情况及导管留置时间。结果研究组导管相关性感染发生率为6.35%,低于对照组的20.63%(P<0.05);研究组导管留置时间为(33.58±8.85)d,较对照组的(28.63±9.26)d明显更长(P<0.05)。结论成立PICC小组并实施循证护理可有效的控制PICC患者导管相关性感染的发生率,延长导管留置时间。

Objective To understand the role of evidence-based nursing in PICC（ peripheral vein in central venous catheter） group control on catheter related infections. Methods Total 126 patients of the implementation of PICC after PICC group was set up were selected,and they were randomized into the observation group and the control group,with 63 patients in each group. The control group received PICC catheter according to conventional,maintenance and other operations. The observation group was implemented evidence-based nursing on the basis of the normal operation by PICC group. The incidence of catheter related infections and catheter indwelling time of the two groups were compared. Results The incidence of catheter related infections of the observation group was 6. 35% which was lower than 20. 63% of the control group（ P〈0. 05）. The catheter indwelling time of the observation group was（ 33. 58 ± 8. 85） d which was longer than（ 28. 63 ±9. 26） d of the control group（ P〈0. 05）. Conclusions Establishment of PICC group and implementation of evidence-based nursing can effectively control the incidence of patients with PICC catheter related infections,and extend the catheter indwelling time.