护理干预预防肿瘤患者外周静脉置入中心静脉导管相关性感染的效果评价  

Efficacy of nursing interventions in prevention of peripherally inserted central catheter-related infections in tumor patients

作　　者：杨金丽[1] 张海兵[1] 郑少俊[1] 

机构地区：[1]湖州市中心医院介入放疗科,浙江湖州313000

出　　处：《中华医院感染学杂志》2013年第11期2581-2582,2595,共3页Chinese Journal of Nosocomiology

基　　金：浙江省湖州市科技计划项目(2009YS03)

摘　　要：目的通过对肿瘤患者进行外周静脉置入中心静脉导管(PICC)相关感染的目标性监测,探讨护理干预在预防PICC相关性感染中的应用效果。方法采用目标性监测方法,进行护理干预,包括:建立培训和管理制度、规范置管及维护流程、严格无菌操作、选择合适的置管部位、加强置管后的监测及管理、重视居家维护,对实施护理干预前后肿瘤患者PICC相关性感染的发生率进行统计分析。结果实施护理干预措施之后,总置管天数明显增加,由2009年总置管天数10 620d升至2011年的15 778d;肿瘤患者PICC相关性感染率从2009年1.12/千导管日、2010年的0.53/千导管日下降至2011年的0.06/千导管日(P<0.05)。结论护理干预能有效降低肿瘤患者PICC相关性感染的发生率。OBJECTIVE To analyze me effect of catheter-related infections in tumor patients through targeted surveillance. METHODS Different means of targeted surveillance and nursing interventions were carried out, including establishing the training and management system, standardizing tube placement and maintenance process, implementing strict aseptic techniques, selecting the appropriate site, strengthening monitoring and management after catheterization, paying attention to home maintenance. The incidence of peripherally inserted central catheter-related infections in tumor patients before and after implementing the nursing interventions was statistical analyzed. RESULTS The total indwelling catheter-days were significantly increased from 10 620 days in 2009 to 15 778 days in 2011 after the indwelling of nursing interventions, the incidence of peripherally inserted central catheter-related infections decreased to 0.06/thousand catheter-days in 2011, which was 1.12/thousand catheter-days in 2009 and 0.53/thousand catheter-days in 2010（P〈0.05）. CONCLUSION The implementation of the nursing interventions can significantly reduce the incidence rate of peripherally inserted central catheter-related infections.

关 键 词：护理干预 外周中心静脉导管相关性感染 效果评价 

分 类 号：R473[医药卫生—护理学]