集束化护理在预防脑室外引流装置相关感染中的应用效果

Application effect of cluster nursing in prevention of infection associated with external ventricular drain device

目的探讨集束化护理在预防脑室外引流(EVD)装置相关感染中的作用。方法选取2021年11月至2022年12月于抚州市第一人民医院行EVD手术治疗的80例患者作为研究对象,按照随机数字表法分为对照组(40例)和观察组(40例)。对照组采取常规护理,观察组实施集束化护理,两组患者均持续护理干预至患者出院。比较两组患者感染率、携管时间、住院时间、舒适度、生活质量和护理满意度。结果观察组感染等并发症总发生率为5.00%,低于对照组的20.00%,差异有统计学意义(P<0.05);观察组携管时间(5.23±1.02)d、住院时间(10.07±2.15)d,均短于对照组,差异有统计学意义(P<0.05);护理前,两组患者舒适状况量表(GCQ)评分比较,差异无统计学意义(P>0.05);观察组护理后GCQ中生理、心理、精神、社会文化分数高于对照组,差异有统计学意义(P<0.05);护理前,两组患者健康调查简表(SF-36)评分比较,差异无统计学意义(P>0.05);观察组护理后SF-36中躯体疼痛、躯体功能、生理职能、情感职能、心理健康、生命活力、社会功能、总体健康均高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为95.00%(38/40),高于对照组的80.00%(32/80),差异有统计学意义(P<0.05)。结论集束化护理能够预防EVD患者相关感染,有效缩短患者携带时间和住院时间,增加患者舒适度,从而提升患者生活质量和护理满意度。

Objective To explore the effect of cluster nursing in preventing infection associated with external ventricular drain(EVD)device.Methods A total of 80 patients who underwent EVD surgery in First People's Hospital of Fuzhou from November 2021 to December 2022 were selected as the study subjects.They were divided into a control group(40 cases)and an observation group(40 cases)according to random number table method.The control group received routine nursing,while the observation group received cluster nursing.Both groups received continuous nursing intervention until discharge.Compare the infection rate,catheterization time,hospital stay,comfort,quality of life and nursing satisfaction between the two groups of patients.Results The total incidence of complications such as infection in the observation group was 5.00%,lower than the 20.00%in the control group,with statistically significant difference(P<0.05).The observation group had shorter tube carrying time([5.23±1.02]days)and hospitalization time([10.07±2.15]days)compared to the control group,with statistically significant differences(P<0.05).Before nursing,there were no statistically significant differences in the GCQ scores between the two groups of patients(P>0.05).After nursing,the scores of physiology,psychology,spirit,and social culture in the GCQ of the observation group were higher than those of the control group,with statistically significant differences(P<0.05).Before nursing,there were no statistically significant differences in the MOS item from health survey(SF-36)scores of the two groups of patients(P>0.05).After nursing,the physical pain,physical function,physiological function,emotional function,mental health,vitality,social function and overall health scores of SF-36 in the observation group were higher than those in the control group,with statistical significances(P<0.05).The nursing satisfaction of the observation group was 95.00%(38/40),which was higher than the 80.00%(32/80)of the control group,with statistically significant difference(P<0.05).Conclusion Cluster nursing can prevent EVD patients from related infections,effectively shorten patients'carrying time and hospitalization time,increase patients'comfort,and thereby improve patients'quality of life and nursing satisfaction.