目标管理理论指导下血管导管相关感染预防干预在连续性肾脏替代疗法患者中的应用效果

Effect of vessel catheter associated infection prevention intervention guided by management by target theory in patients continuous renal replacement therapy

目的探讨对连续性肾脏替代疗法(CRRT)患者实施以目标管理理论为导向的血管导管相关感染(VCAI)预防干预的效果。方法选取2022年1月至12月南通大学附属南通第三医院收治的102例CRRT患者,采用随机数字表法将其分为目标组和对照组,各51例。两组患者均实施常规护理,目标组同时实施以目标管理理论为导向的VCAI预防性护理。比较两组VCAI发生情况,并比较两组干预前后急性生理和慢性健康评分系统Ⅱ(APACHE-Ⅱ)评分。结果目标组VCAI发生率低于对照组,VCAI出现时间晚于对照组、VCAI持续时间短于对照组、导管留置时间长于对照组(P<0.05)。干预后,两组APACHE-Ⅱ评分低于干预前,且目标组低于对照组(P<0.05)。结论为CRRT患者实施以目标管理理论为导向的VCAI预防性护理,可降低VCAI发生率,延缓VCAI的发生并缩短持续时间,在治疗过程中促进患者机体恢复并提升机体健康状况。

Objective To explore the effect of preventive nursing of vessel catheter associated infection(VCAI)guided by management by target theory in patients with continuous renal replacement therapy(CRRT).Methods A total of 102 CRRT patients admitted to Nantong Third Hospital Affiliated to Nantong University from January to December 2022 were selected,and they were divided into target group and control group by random number table method,with 51 cases in each group.Routine nursing was carried out for both groups of patients,and VCAI preventive nursing guided by management by target theory was carried out for the target group at the same time.The occurrence of VCAI was compared between the two groups,and acute physiological and chronic health evaluationⅡ(APACHE-Ⅱ)scores were performed before and after intervention.Results The incidence of VCAI in the target group was lower than that in the control group,VCAI appearing time was later than that in the control group,VCAI lasting time was shorter than that in the control group,and catheter indwelling time was longer than that in the control group(P<0.05).After intervention,the APACHE-Ⅱscores in both groups were lower than those before intervention,and those in the target group were lower than those in the control group(P<0.05).Conclusion The implementation of VCAI preventive nursing for CRRT patients guided by the management by target theory can significantly reduce the incidence of VCAI,delay the placement of VCAI and shorten the duration,promote the recovery of patients and improve the health status of the body during the treatment process.