层级护理对肺癌PICC置管血流感染的影响

Effect of Hierarchical Nursing on Bloodstream Infection of PICC Catheterization of Lung Cancer

目的观察分析层级护理对肺癌PICC置管血流感染的影响。方法方便选取2018年2月—2019年2月124例肺癌患者,分为实验组(应用层级护理方法)和对照组(应用常规护理方法),比较两组干预效果。结果实验组平均置管时间、导管相关血流感染发生率分别为(116.3±42.5)d、1.6%,对照组分别为(82.1±34.4)d、14.5%,实验组导管相关血流感染发生率低于对照组(χ^2=15.543,P<0.05);实验组护理工作人员对相关知识掌握度评分为(95.6±1.5)分,对照组护理工作人员对相关知识掌握度评分为(80.8±1.1)分;实验组非常满意率、基本满意率、不满意率分别为88.7%、9.7%、1.6%,对照组分别为66.1%、16.1%、17.8%;实验组平均置管时间、相关知识掌握度评分、护理总满意率高于对照组(t=3.454、5.365,χ^2=9.226,P=0.000、0.000、0.002)。结论层级护理可显著降低肺癌外周中心静脉置管血流感染发生率,延长置管时间。

Objective To observe and analyze the effect of hierarchical nursing on blood flow infection of lung cancer PICC catheterization.Methods 124 patients with lung cancer from February 2018 to February 2019 were convenienty selected and divided into experimental group(application level nursing method)and control group(application conventional nursing method)Compare the effects afthe two groups.Results The average catheter insertion time and the incidence of catheter-related bloodstream infections in the experimental group were(116.3±42.5)d and 1.6%,and the control group were(82.1±34.4)d and 14.5%,respectively.The incidence of catheter-related bloodstream infection in the experimental group,lower than the control group(χ^2=15.543,P<0.05);the nursing staff of the experimental group scored(95.6±1.5)points of relevant knowledge,and the nursing staff of the control group scored(80.8±1.1)points;very satisfied rate,basic satisfied rate,unsatisfied rate in the experimental group were 88.7%,9.7%,1.6%,and the control group were 66.1%,16.1%,17.8%;The average tube placement time,relevant knowledge mastery score,and overall nursing satisfaction rate of the experimental group were higher than those of the control group(t=3.454,5.365,χ^2=9.226,P=0.000,0.000,0.002).Conclusion Hierarchical nursing can significantly reduce the incidence of bloodstream infections in peripheral central venous catheterization of lung cancer and prolong the catheterization time.