论文部分内容阅读
目的:探讨集束干预管理在中心静脉导管相关血流感染(CRBSI)预防管理中的应用方法和效果。方法:选择从2015年5月~2016年4月在浙江省荣军医院接受血液透析治疗的肾衰竭患者120例,随机分成观察组和对照组,每组各60例。对于血液透析的中心静脉导管,对照组行常规护理,在此基础上观察组加用集束干预管理。观察和比较两组CRBSI发生率、导管留置时间。结果:观察组CRBSI发生率、导管留置时间分别显著低于对照组(P<0.05)。观察组锁骨下静脉置管率、股静脉置管率分别显著高于、低于对照组(P<0.05);两组颈内静脉置管率比较无显著差异(P>0.05)。结论:对中心静脉置管患者行集束干预管理,可降低CRBSI发生率和住院时间,改善置管部位,具有较高的应用价值。
Objective: To explore the method and effect of cluster intervention management in the prevention and management of central venous catheter-related bloodstream infections (CRBSI). Methods: From May 2015 to April 2016, 120 patients with renal failure who underwent hemodialysis in Rongjun Hospital of Zhejiang Province were randomly divided into observation group and control group, 60 cases in each group. For hemodialysis central venous catheter, the control group routine care, on the basis of observation group plus bundle intervention management. The incidence of CRBSI and catheter indwelling time were observed and compared between two groups. Results: The incidence of CRBSI and indwelling catheter in observation group were significantly lower than those in control group (P <0.05). The rate of cannulation of the subclavian vein and the femoral vein in the observation group were significantly higher than those in the control group (P <0.05). There was no significant difference in the rate of cannulation between the two groups (P> 0.05). Conclusion: Cluster management of patients with central venous catheterization can reduce the incidence of CRBSI and hospital stay, improve the site of catheterization, and has high value.