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目的探讨不同病原菌所致PICC相关血流感染的护理方法及体会,研究其对临床治疗效果的影响。方法选择2015年2月至2017年2月经嘉兴武警医院治疗的42例PICC相关血流感染患者作为研究对象,所有患者在入院时均采用常规护理,随着护理流程改进,患者开始采用优化的护理模式。根据是否实施改进护理将患者分为2组,每组21例。对照组为2015年2月至2016年1月未改进期间进行治疗的患者,观察组为2016年2月至2017年2月期间实施改进护理的患者。比较2组患者红肿消退时间、疼痛评分、伤口愈合时间以及并发症发生情况。结果观察组患者红肿消退时间为(2.11±1.03)d,病原菌血培养转阴时间为(4.15±1.09)d,疼痛评分为(2.56±1.75)分,伤口愈合时间为(3.87±1.44)d,并发症发生率为9.52%,均优于对照组红肿消退时间(3.08±1.17)d,病原菌血培养转为阴性时间(5.84±1.77)d、疼痛评分(4.01±1.92)分、伤口愈合时间(5.78±1.82)d、并发症发生率(38.10%),差异均有统计学意义(P<0.05)。结论将优化的护理干预应用于不同病原菌所致PICC相关血流感染患者具有较好的针对性,能显著促进红肿消退及伤口愈合,减少并发症发生,临床应用效果确切。
Objective To investigate the nursing methods and experience of PICC-related bloodstream infections caused by different pathogenic bacteria and to study the effect on clinical curative effect. METHODS: Forty-two patients with PICC-associated bloodstream infections were treated at Jiaxing Armed Police Hospital from February 2015 to February 2017. All patients were treated with routine care at admission. As the nursing process improved, patients began to receive optimal care mode. The patients were divided into 2 groups according to whether to implement improved nursing care, 21 cases in each group. Patients in the control group were treated during the unadjusted period from February 2015 to January 2016 and the observation group were patients undergoing intensive care between February 2016 and February 2017. The two groups were compared in terms of redness and regression, pain score, wound healing time and complications. Results The duration of redness and remission was (2.11 ± 1.03) d in the observation group, (4.15 ± 1.09) d in the blood culture of the pathogen, and the pain score was (2.56 ± 1.75) min and the wound healing time was (3.87 ± 1.44) The complication rate was 9.52%, which was better than that of the control group (3.08 ± 1.17), the pathogen blood culture turned negative time (5.84 ± 1.77) d, pain score (4.01 ± 1.92), wound healing time 5.78 ± 1.82) d, the incidence of complications (38.10%), the differences were statistically significant (P <0.05). Conclusion The application of optimized nursing intervention in patients with PICC-associated bloodstream infections caused by different pathogenic bacteria has good pertinence, can significantly promote the redness and regression and wound healing, reduce the occurrence of complications, and the clinical effect is definite.