集束化干预策略降低ICU病房CRBSI发生率

Cluster intervention strategies reducing the incidence of CRBSI in ICU wards

目的:探讨集束化干预策略在降低重症监护病房(ICU)导管相关性血流感染(CRBSI)发生率中的作用。方法:110例和116例ICU病房置入中心静脉导管患者分别给予常规处理(对照组)和集束化干预策略(研究组),比较两组患者CRBSI、发生时间、住院时间及住院费用,并评价两组护理人员CRBSI理论知识及操作能力。结果:研究组CRBSI发生率降低、发生时间延迟,住院时间较短,住院费用较低,与对照组比较,差异有统计学意义(P<0.05)。结论:集束化干预策略可促进ICU病房置入中心静脉导管患者的康复,降低医疗费用。

Objective:To explore the cluster intervention strategy in reducing the incidence of catheter-related bloodstream infection(CRBSI)in intensive care unit(ICU).Methods:110 patients with central venous catheter implantation in ICU ward were given routine treatment(control group)and 116 patient were given cluster intervention strategy treatment(research group),respectively.CRBSI,occurrence time,hospitalization time and hospitalization cost were compared between the two groups,and the theoretical knowledge and operation ability of CRBSI of nurses in the two groups were evaluated.Results:Compared with the control group,the incidence of CRBSI in the study group was lower,the occurrence time was delayed,the hospitalization time was shorter and the hospitalization cost was lower,the differences were statistically significant(P<0.05).Conclusion:Cluster intervention strategy can promote the rehabilitation of patients with central venous catheter implantation in ICU ward and reduce medical costs.