建立导管日志控制呼吸ICU中心静脉导管相关性血流感染的效果  

Effect of catheter record on the prevention of catheter-related bloodstream infection in RICU

作　　者：刘娜[1] 张建霞[2] 申艳娥[1] 贾亚丽[1] 邓兰芬[1] 

机构地区：[1]北京大学第一医院呼吸监护室,100034 [2]北京大学第一医院护理部,100034

出　　处：《中华现代护理杂志》2013年第26期3277-3279,共3页Chinese Journal of Modern Nursing

基　　金：北京大学第一医院2011年科研基金资助项目

摘　　要：目的 了解ICU中心静脉置管患者中心静脉导管感染现状,探讨建立导管日志控制中心静脉导管相关性血流感染（CRBSI）的效果.方法 采用类实验性研究方法,便利选取北京市某三甲医院呼吸监护室留置中心静脉导管的患者.对照组51例患者采取常规的护理措施,干预组43例患者采取以建立导管日志为主的一系列护理干预措施.比较两组患者CRBSI的发生率.结果 对照组发生感染5例（9.8％）,干预组发生感染0例,两组比较差异有统计学意义（x2 =4.453,P＜0.05）.干预组导管的千日感染率为0.00,对照组为4.36‰.干预组记录完整的日志为31条（72％）导管,记录不完整的12条（28％）.结论 建立导管日志,切实做好无菌操作、管路观察及维护等一系列护理干预措施能够降低CRBSI的发生率.Objective To understand the status of catheter-related bloodstream infection in Respiratory Intensive Care Unit （RICU）,and explore the effect of catheter record in the prevention of catheter-related bloodstream infection （CRBSI） in RICU.Methods A quasi-experimental study was used in the study.The patients with the central venous catheters in the Respiratory Intensive Care Unit of Grade Ⅲ hospital in Beijing were enrolled.The control group was given normal care,and the intervention group was given catheter record and other nursing intervention.The infection rate of CRBSI was compared between two groups after intervention.Results Ninety-four patients were completed date collection,43 patients were in intervention group and 51patients were in control group.The infection of CRBSI was five cases （9.8％） in the control group,and 0 case in the intervention group,and the difference was statistically significant （x2 =4.453,P ＜ 0.05）.The thousand-day-infection rate of CRBSI was 0.00 in the intervention group,and 4.36‰ in the control group.The catheter logs which were completely recorded were 31 （72％）,and the catheter logs which were not completely recorded were 12 （28％）.Conclusions A serious of nursing intervention measures including setting up catheter record,aseptic operation and pipeline observation and maintenance can decrease the infection rate of CRBSI.

关 键 词：导管插入术 中心静脉 导管相关性血流感染 导管日志 

分 类 号：R473.5[医药卫生—护理学]