目视管理对ICU中心静脉置管中存在问题的干预效果

Intervention effect of applying visual management for the problems in ICU central venous catheterization

目的探讨目视管理对ICU中心静脉置管中存在问题的干预效果。方法将2017年6月至2018年6月我院治疗的92例ICU中心静脉置管患者作为研究对象,按随机数字表法将其等分为对照组和观察组,对照组采用常规方法管理,观察组采用目视管理方法进行管理,观察两组治疗期间的并发症发生率、CRBSI发生率,护理前及护理3个月后记录两组生活质量评分(QLQ-C30评分)和护理质量评分。结果观察组并发症和感染发生率明显低于对照组(P<0.05);观察组QLQ-C30评分及护理质量评分均明显高于对照组,差异有统计学意义(P<0.05)。结论对ICU中心静脉置管采用目视管理法,能明显降低导管相关性感染及中心静脉感染发生率,降低各种并发症及血栓的发生率,对于提高生活质量和护理质量具有明显效果,该种管理措施具有重要临床应用价值。

Objective To investigate the intervention effect of applying visual management for the problems in ICU central venous catheterization.Methods To select 92 cases of patients with ICU central venous catheterization who were treated in our hospital from June 2017 to June 2018 as the study objects.They were divided into a control group and an observation group according to the random number table method.The control group was managed by conventional methods,and the observation group used visual management methods to observe the incidence of complications and CRBSI during the treatment period in both groups,and recorded the quality of life(QLQ-C30)score and quality of care score for both groups before and after 3 months of care.Results The incidence of complications and infections in the observation group were significantly lower than those in the control group(P<0.05);the QLQ-C30 score and quality of care score in the observation group were obviously higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of visual management method for ICU central venous catheterization could significantly reduce the incidence of catheter-related infections and central venous infections,reduce the incidence of various complications and thrombosis,and had a significant effect on improving the quality of life and quality of care.This management measure had important clinical application value.