集束化管理预防ICU中心静脉导管相关性感染效果分析

Effect of cluster management on ICU central venous catheter-related infection

目的:探讨集束化管理对预防ICU中心静脉导管相关性感染的效果。方法:将240例ICU中心静脉置管的患者随机分为对照组和观察组各120例;对照组给予常规护理,而观察组则给予集束化护理干预,比较2组患者的导管留置时间、住院时间、并发症、CVC-RI发生率及中心静脉导管相关性血流感染发生率等指标。结果:观察组导管留置时间、住院时间低于对照组(P<0.05);观察组的局部渗血(液)率、脱出率、堵管率及皮肤破损率均低于对照组(P<0.05);观察组的CVC-RI发生率为4.17%,低于对照组的14.17%(P<0.05);观察组的CLABSIs发生率为2.50%,低于对照组的9.17%(P<0.05)。结论:ICU中心静脉置管患者实施集束化护理干预后,可明显缩短置管时间和住院时间,减少并发症,降低导管相关性感染的发生率。

[Objective] To explore the effect of cluster management in preventing central venous catheter related infection of patientsin ICU.[Method]240 patients suffering Central venous catheterizationin ICU were randomly equally divided into control group and observation group.The control group was given conventional nursing,and the observation group was received cluster nursing intervention.The indexes of catheter retention time,length of stay,complications,incidence rates of CVC-RI and CLABSIs were compared between the two groups.[Result]The indexes of catheter retention time and length of stay in the observation group were much lower than that of the control group (P < 0.01).The incidence rates of local oozing of blood,emersion,plugging and skin damage in the observation group were respectively lower than that of the control group (P < 0.05).The incidence rate of CVC-RI in the observation group was 4.17%,lower than the control group (14.17%,P < 0.01),and the incidence rate of CLABSIs in the observation group was 2.50%,lower than the control group (9.17%,P < 0.05).[Conclusion]Cluster nursing intervention carrying out in ICU patients with central venous catheterization could shorten catheter retention time and length of stay,growdownwards complications,and cut down incidence rate of catheter-related infections.