集束化干预对恶性血液病患者导管相关性血流感染的效果分析

发布时间：2018-02-20 15:46

  本文关键词： 中心静脉导管 导管相关血流感染 集束化干预策略 恶性血液病　出处：《川北医学院学报》2017年02期 　论文类型：期刊论文

【摘要】：目的:探讨中心静脉导管集束化干预策略(central line bundle,CLB)对恶性血液病患者导管相关性血流感染(catheter related bloodstream infection,CRBSI)的影响效果。方法:参照美国健康促进会(Institution for Healthcare Improvement,IHI)中心静脉导管相关血流感染预防的集束化干预策略,制定CRBSI集束化干预办法,选择2010年1月至2015年1月在本院留置中心静脉导管行常规护理的252例恶性血液病患者作为对照组,随机选取同期在我院留置中心静脉导管行集束化干预策略的271例恶性血液病患者作为实验组,对常规护理与集束化干预策略后的效果进行比较性分析。结果:对照组股静脉GRBSI平均发生率最高,达26.1‰,集束化干预策略后股静脉置管GRBSI平均发生率7.4‰,对照组股静脉GRBSI平均发生率较实验组比较差异有统计学意义(P0.01),对照组颈内静脉、锁骨下静脉置管GRBSI平均发生率较实验组比较差异无统计学意义(P0.05);对照组与实验组的CRBSI发生率分别为13.5‰、6.1‰,集束化干预策略后实验组的CRBSI率(‰)、CRBSI起始时间、留置天数、住院时间和费用及手消毒剂消耗量与对照组比较差异均有统计学意义(P0.01);CRBSI以革兰阳性菌为主,集束化干预策略后实验组与对照组的病原菌构成比比较差异无统计学意义(P0.05)。结论:采用集束干预策略可有效降低恶性血液病患者中心静脉导管相关性血流感染发生率,缩短患者住院时间,降低住院费用,减轻患者经济负担,提高了恶性血液病患者的生存率和生活质量。
[Abstract]:Objective: to investigate the effect of central line bundle intervention strategy on catheter-related related bloodstream infection in patients with malignant hematological diseases. Methods: referring to the for Healthcare improvement of the American Association for the Promotion of Health (AHA), the central venous catheters were used to treat the patients with malignant hematological diseases. Cluster intervention strategies for the prevention of related blood stream infections, To establish CRBSI cluster intervention, 252 patients with malignant hematological diseases were selected as control group, who were treated with central venous catheter in our hospital from January 2010 to January 2015. 271 patients with malignant hematopathy were randomly selected as experimental group. Results: the average incidence of femoral vein GRBSI was the highest in the control group (26.1 鈥，

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