基于风险控制的一体化管理预防血液净化CRBSI的作用

Prevention effects of integrated management based on risk control on blood purification CRBSI

目的探讨基于风险控制的一体化管理对血液净化导管相关性血流感染(catheter related blood stream infection,CRBSI)的预防作用。方法选取亳州市某医院2019年4月—2020年9月接受血液净化治疗的92例患者,采取随机数字表法分为研究组和对照组。对照组采用常规管理,研究组在常规管理基础上采用基于风险控制的一体化管理。对比两组患者对CRBSI健康防控知识的认知状况,预防CRBSI的依从性、CRBSI的发生率及对管理模式和人员的满意度。结果与管理前相比,管理后研究组对CRBSI健康防控知识的认知状况更高,两组差异有统计学意义(t研究组=28.667、34.428、24.808,t对照组=25.601、22.378、23.630,t管理后组间=7.696、6.824、5.492,P<0.05);研究组依从性优良率高于对照组,两组差异有统计学意义(χ^(2)=4.696,P<0.05);研究组的CRBSI总发生率低于对照组,两组差异有统计学意义(χ^(2)=4.696,P<0.05);研究组对管理模式和人员的满意度高于对照组,两组差异有统计学意义(t=8.635、8.981、7.657、9.620、10.189、8.077,P<0.05)。结论采用基于风险控制的全过程一体化管理可提高患者对CRBSI健康防控知识的认知度和治疗依从性,降低CRBSI发生率,提高患者对管理模式和管理人员的满意度。

Objective To explore the preventive effect of integrated management based on risk control on blood purification catheter-related bloodstream infection(CRBSI).Methods Ninety-two patients who received blood purification treatment in a hospital in Bozhou City from April 2019 to September 2020.Randomized numerical table method was taken randomly to divide the patients into study group and control group.The control group adopted conventional management,while the study group adopted integrated management based on risk control on the basis of conventional management.The cognitive levels of CRBSI health prevention and control knowledgeand,compliance on CRBSI prevention,incidences of CRBSI,and satisfaction towards management methods and staff were compared between the two groups.Results Compared with before management,the cognitive status of health prevention and control knowledge of CRBSI in the study group was higher after management,and the differences between the two groups were statistically significant(t study grou=28.667,34.428,24.808;t control grou=25.601,22.378,23.630;t after management between groups=7.696,6.824,5.492,P<0.05).The excellent and good rate of compliance of the study group was higher than that of the control group,and the difference was statistically significantbetween the two groups(χ^(2)=4.696,P<0.05).The total incidence of CRBSI of the study group was lower than that of the control group,and the difference was statistically significantbetween the two groups(χ^(2)=4.696,P<0.05).The satisfaction towardsmanagement methods and staff of the study group were higher than that of the control group,and the differences between the two groups were statistically significant(t=8.635,8.981,7.657,9.620,10.189,8.077,P<0.05).Conclusion The whole process integrated management based on risk control can improve patients′perceptions of health prevention and control knowledge and treatment compliance of CRBSI,reduce the incidence of CRBSI,and improve patients′satisfaction with the management mode and management staff.