综合干预方案对乳腺癌患者PICC导管相关血流感染的影响

Influence of comprehensive interventions on PICC-related bloodstream infections in breast cancer patients

目的探讨综合干预方案对乳腺癌患者经外周静脉置入中心静脉导管(PICC)相关血流感染的影响,旨在为临床提供相关预防依据。方法选取医院2013年1月-2014年6月收治的置管乳腺癌患者385例作为对照组,选取医院2014年7月-2015年12月收治置管乳腺癌患者519例作为试验组,对照组采用常规策略预防导管相关血流感染,试验组在对照组患者护理的基础上实施综合护理方案,比较两组乳腺癌患者PICC导管相关血流感染率、千日导管血流感染率及PICC导管维护环节质量合格率。结果综合干预方案实施后,试验组患者的PICC导管相关血流感染率低于对照组;对照组患者的总留置时间高于试验组;试验组患者的千日导管血流感染率低于对照组;试验组患者质量合格率均高于对照组,以上两组数据比较,差异均有统计学意义(P<0.05)。结论综合干预方案能够降低患者的PICC导管相关血流感染率及千日导管血流感染率,提高了PICC导管维护环节质量合格率,效果显著,值得临床推广。

OBJECTIVE To explore the influence of comprehensive interventions on peripherally inserted central catheter（PICC）-related bloodstream infections in breast cancer patients so as to provide guidance for clinical pre-vention of the infections.METHODS A total of 385 patients with breast cancer who were treated in hospitals from Jan 2013 to Jun 2014 were chosen as the control group,and 519 patients with breast cancer who were treated in the hospital form Jul 2014 to Dec 2015 were chosen as the experimental group.The control group was treated with conventional strategies for prevention of the catheter-related bloodstream infections,while the experimental group was given comprehensive nursing interventions on the basis of the nursing of the conventional group.The inci-dence of PICC-related bloodstream infections,thousand-day incidence of catheter-related bloodstream infections and qualified rate of quality of maintenance of PICC were compared between the two groups of patients.RESULTS The incidence of PICC-related bloodstream infections of the experimental group was lower than that of the control group after the comprehensive interventions were carried out.The total catheter indwelling time of the control group was longer than that of the experimental group.The thousand-day incidence of catheter-related bloodstream infection of the experimental group was lower than that of the control group.The qualified rate of quality of the experimental group of the experimental group was higher than that of the control group;there were significant differences in the above indexes between the two groups of patients（P〈0.05）.CONCLUSION The comprehensive interventions may reduce the incidence of PICC-related bloodstream infections and the thousand-day incidence of catheter-related bloodstream infections and raise the qualified rate of quality of maintenance of PICC and it is wor-thy to be promoted in the hospital.