中心静脉导管零感染的护理新对策  

New nursing strategy to achieve zero infection incidence in patients with PICC

作　　者：贺亚娟[1] 陆素梅[1] 何佩娟[1] 

机构地区：[1]宁波市妇女儿童医院乳腺科,浙江宁波315012

出　　处：《中华医院感染学杂志》2011年第12期2416-2417,共2页Chinese Journal of Nosocomiology

摘　　要：目的探讨中心静脉导管(PICC)零感染的护理新对策。方法采用回顾分析方法,比较两组导管相关性感染的差异,采用规范洗手、关注肢体皮肤的清洁、设立专职护士等新对策,着重于切断微生物入侵途径的方法。结果对照组的导管感染率为0.79‰;观察组采用专用治疗室由专职护士在最大无菌屏障下完成置管、强化计划置管和规范维护等护理新对策,全组为零感染,2组之间差异有统计学意义(P<0.05)。结论采用护理新对策,并将其列入制度,实施持续质量监控,可有效控制感染,甚至达到零感染。OBJECTIVE To explore a new nursing strategy to achieve zero-infection incidence in patients with PICC.METHODS Compare the difference of catheter-related infections in two groups by retrospective analysis and adopt several new strategies such as normatively washing hands,cleaning the skin,paving large towels,setting up full-time nurses and etc,which focus on cutting off the pathway of infection by microorganism.RESULTS The infectious rate in control group was 0.79‰ while that in observation group was 0 after adopting new nursing strategies such as manipulating by full-time nurses in a special treatment room shielding by the largest sterile barrier,strengthening the plan of placing catheters and the standard nursing strategy.The difference is statistical significance（P0.05）.CONCLUSION To adopt the new nursing strategy and enroll it into institution and practice continuous quality control could control infection effectively,and may even achieve zero-infection incidence.

关 键 词：中心静脉导管 零感染 护理新对策 

分 类 号：R181.32[医药卫生—流行病学]