集束化护理在预防ICU病人中心静脉导管相关性血流感染的应用

The Application of Cluster Nursing onPrevention of Central Venous Catheter Related Bloodstream Infections in ICU Patients

目的:探讨集束化护理对预防ICU病人中心静脉导管相关性血流感染的作用。方法:将入住在ICU,有中心静脉置管的危重症病人80例分为对照组和观察组各40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组病人的住院时间、导管留置时间、并发证及中心静脉导管相关性血流感染发生率等指标。结果:(1)观察组导管平均留置时间(P=0.000 1)、平均住院时间(P=0.002 5)均低于对照组;(2)观察组的CVC-RI发生率为5.0%,显著低于对照组的22.5%(x^2=5.165,P=0.048);观察组的CRBSI发生率为2.5%,显著低于对照组的20.0%(x^2=6.135,P=0.029)。结论:入住ICU有中心静脉置管的病人实施集束化护理干预后,可明显缩短置管时间和住院时间,减少并发证,降低导管相关性血流感染的发生率。

AIMS:Effect of cluster nursing on prevention of central venous catheter related bloodstream infections in ICU patients.Methods:80 critically ill patients with central venous catheterization in ICU were divided into control group and observation group with 40 cases in each group.The control group was given routine nursing,while the treatment group underwent the cluster nursing intervention.Finally,each group's hospitalization time,indwelling time of central venous catheter,complications,incidence of central venous catheter-related bloodstream infection and other indicators were compared as well as analyzed.Results:(1)The average central venous catheter indwelling time(P=0.0001)and hospitaiization time(P=0.0025)of treatment group were both shorter that thoseof control group.(2)The CVC-RI incidence of treatment group was 5.0%and significantly lower than that of control group which was 22.5%(X^2=5.165,P=0.048).The CRBSI incidence of control group was 20.0%(X^2=6.135,P=0.029),while that of treatment group was 2.5%and significantly higher thanthat of the control group.Conclusions:After the implementation of cluster nursing intervention,the patients who have central venous catheterization in the ICU can significantly shorten catheterization time and hospitalization time,reduce complications,as well as lower the incidence of catheter-related bloodstream infections.