集束化管理措施在PICC导管患者中的应用效果分析

发布时间：2018-06-06 22:07

本文选题：中心静脉导管 + 血流感染　；参考：《中华医院感染学杂志》2017年09期

【摘要】：目的分析集束化管理措施在中心静脉导管(PICC)患者相关性血流感染的应用效果。方法选择2013年5月-2016年5月医院接受治疗的PICC肿瘤患者150例为研究对象,分析PICC导管及集束化管理导管相关性血流感染(CRBSI)的发生情况;将患者分为常规组与集束化组,各75例;常规组为传统管理法,集束化组为PICC导管集束化管理法,观察相关性血流感染的发生情况与PICC导管的利用率。结果集束化组患者置导管时长(236.43±10.12)d,短于常规组的(238.67±9.35)d,两组比较差异无统计学意义(t=1.4080,P=0.1612);集束化组患者的导管平均用时为(136.43±10.49)d,大于常规组的(88.45±9.12)d,两组比较差异有统计学意义(P0.05);集束化组患者的平均住院时间为(236.43±8.49)d,常规组患者为(257.02.02±10.37)d,两组比较差异有统计学意义(P0.05);集束化组患者仅有4例出现CRBSI,其发生率为12.70‰,常规组患者出现18例CRBSI,其发生率为33.51‰,两组比较差异有统计学意义(P0.05);集束化组患者的导管利用率为53.12%,常规组患者为33.84%,两组比较差异有统计学意义(P0.05)。结论采用集束化管理PICC导管相关性血流感染,可以显著提高PICC导管的利用率和降低血流感染,值得临床大力推广。
[Abstract]:Objective to analyze the effect of cluster management on blood flow infection in central venous catheter (PICC) patients. Methods 150 patients with PICC tumor treated in May -2016 May 2013 were selected as the subjects. The incidence of PICC catheter and cluster management catheter related blood flow infection (CRBSI) was analyzed, and the patients were divided into regular cases. The conventional management method was used in the conventional group and the cluster group, and the conventional group was the traditional management method. The cluster group was PICC catheter cluster management. The incidence of related blood flow infection and the utilization of PICC catheter were observed. The results of the cluster group were (236.43 + 10.12) d, shorter than that of the conventional group (238.67 + 9.35) d, and there was no significant difference between the two groups (t =1.4080, P=0.1612); the average time of catheter use in the cluster group was (136.43 + 10.49) d, greater than that of the conventional group (88.45 + 9.12) d, and the two groups were statistically significant (P0.05); the average time of hospitalization in the cluster group was (236.43 + 8.49) d, the normal group was (257.02.02 + 10.37) d, and the two groups were statistically significant (P0.05); the group two was statistically significant (P0.05); There were only 4 cases in the group of patients with CRBSI, the incidence of which was 12.70 per thousand, and 18 cases of CRBSI in the conventional group, the incidence of which was 33.51 per thousand. The two groups had a significant difference (P0.05), the catheter utilization rate of the cluster group was 53.12%, the routine group was 33.84%, and the two groups were statistically significant (P0.05). Conclusion cluster analysis was used. Management of PICC catheter-related bloodstream infection can significantly improve the utilization of PICC catheter and reduce bloodstream infection, which is worthy of clinical promotion.
【作者单位】：江汉大学附属医院护理部;
【分类号】：R473.73

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