集束化护理对ICU重症患者导管相关性感染率的影响

Effect of Cluster-based Nursing on Catheter-related Infection Rate in ICU Severe Patients

目的分析ICU重症患者接受集束化护理后导管相关感染的发生情况。方法选取我院收治的ICU重症病患68例,随机分为常规干预组、集束化干预组各34例,比较两组的导管相关性感染率、插管时间、ICU住院时间以及护理效果。结果 (1)导管相关性感染率:常规干预组为20.59%,集束化干预组为2.94%,前者高于后者,组别间具有显著差异性(P<0.05);(2)就住院、插管时间而言,集束化干预组小于常规干预组,两组对比有差异(P<0.05);(3)集束化干预组各项护理指标分值均比常规干预组高,两组数据存在统计学差异(P<0.05)。结论集束化护理的实施能降低ICU重症病患导管相关性感染率,缩短ICU住院时间,护理效果显著,值得临床推广。

Objective To analyze the effect of cluster-based nursing on catheter-related infection rate in ICU severe patients. Methods A total of 68 ICU severe patients in our hospital were taken as the clinical objects, and they were randomly divided into routine intervention group （34 cases） and cluster-based intervention group （34 cases）. The catheter- related infection rates, intubation time, ICU hospital stay and nursing effects in the two groups were compared. Results The catheter-related infection rate in the routine intervention group was 20.59% which was obviously higher than that in the cluster-based intervention group 2.94%, and their difference was statistically significant（P〈0.05）, the intubation time and hospital stay in the routine intervention group were obviously longer than those in the cluster- based intervention group, and their differences were statistically significant（P〈0.05）, the scores of nursing indicators in the cluster-based intervention group were higher than those in the routine intervention group, and their differences were statistically significant（P〈0.05）. Conclusion The cluster-based nursing which has significant nursing effect in ICU severe patients, can not only reduce the incidence of Thus, it is worthy of clinical application. catheter-related infection, but also shorten the ICU hospital stay