集束化护理在ICU留置中心静脉导管患者中的应用效果

Application Effect of Cluster Nursing in ICU Patients with Indwelling Central Venous Catheter

目的:探讨集束化护理在ICU留置中心静脉导管患者中的应用效果。方法:选取2021年2月—2022年2月衡阳市中心医院收治的患者80例作为研究对象,随机分为两组,各40例。对照组实施基础护理,观察组实施集束化护理。比较两组临床指标、并发症发生情况、负性情绪及生活质量评分。结果:观察组导管留置时间、ICU住院时间以及总住院时间均短于对照组,差异有统计学意义(P<0.001)。观察组并发症总发生率低于对照组,差异有统计学意义(P=0.004)。干预前,两组焦虑、抑郁评分比较,差异无统计学意义(P>0.05);干预后,观察组焦虑、抑郁评分低于对照组,差异有统计学意义(P<0.001)。干预前,两组角色功能、心理功能、社会功能、生理功能评分比较,差异无统计学意义(P>0.05);干预后,观察组角色功能、心理功能、社会功能、生理功能评分高于对照组,差异有统计学意义(P<0.05)。结论:ICU留置中心静脉导管患者实施集束化护理干预的效果显著,可促进患者康复,改善负性情绪,降低并发症发生风险,提高生活质量。

Objective:To explore the application effect of cluster nursing in ICU patients with indwelling central venous catheter.Methods:A total of 80 patients diagnosed and treated in Hengyang Central Hospital from February 2021 to February 2022 were selected as the study subjects.They were randomly divided into two groups,with 40 cases in each group.The control group implemented basic nursing and the observation group implemented cluster nursing.The clinical indexes,complications,negative emotion and quality of life scores in the two groups were compared.Results:The catheter indwelling time,length of ICU stay and total length of hospital stay in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.001).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.004).Before the intervention,there was no significant difference in anxiety and depression scores between the two groups(P>0.05).After the intervention,the anxiety and depression scores in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.001).Before the intervention,there were no significant differences in the scores of role function,psychological function,social function and physiological function between the two groups(P>0.05).After the intervention,the scores of role function,psychological function,social function and physiological function in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:For ICU patients with indwelling central venous catheter,the implementation of cluster nursing intervention has a significant effect,and can promote the patients'recovery,improve the negative emotions,reduce the risk of complications,and improve the quality of life.