重症急性胰腺炎患者中心静脉留置导管预防感染的护理干预  

Nursing interventions to control of central venous catheter-related infections in patients with severe acute pancreatitis

作　　者：宋伟华[1] 李国荣[2] 胡静文[3] 

机构地区：[1]郑州大学第五附属医院普外二科,河南郑州450002 [2]郑州铁路职业技术学院,河南郑州450002 [3]河南省中医院外一科,河南郑州450002

出　　处：《中华医院感染学杂志》2015年第10期2278-2279,2308,共3页Chinese Journal of Nosocomiology

基　　金：河南省自然科学基金资助项目(0124170723)

摘　　要：目的探讨护理干预对重症急性胰腺炎(SAP)患者中心静脉导管感染(CVC-RI)的影响,为临床采取更为合理的护理方式提供参考依据。方法回顾性分析2011年7月-2013年7月医院收治的86例SAP患者临床资料,根据护理方式的不同将其分为对照组和研究组,每组各43例,对照组患者给予常规护理,研究组患者在对照组的基础上给予护理干预,对比分析两组患者在中心静脉置管后7d和14d的留置导管感染与穿刺点皮肤不良反应发生率以及患者对护理的满意度。结果研究组7d与14d的CVC-RI发生率及穿刺点皮肤不良反应发生率分别为2.33%、11.63%和23.26%,对照组分别为20.93%、39.53%、60.47%,研究组明显低于对照组,组间比较差异均有统计学意义(P<0.05)。结论采取强化护理干预措施能够显著降低SAP患者中心静脉留置导管的感染率和穿刺点皮肤不良反应的发生率,不仅能延长导管的使用寿命,还能提高患者的护理满意度,促进患者尽早康复,值得在临床上广泛推广。OBJECTIVE To explore the impact of nursing interventions on central venous catheter‐related infections （CVC‐RI） in the patients with severe acute pancreatitis （SAP） so as to provide guidance for reasonable clinical nursing .METHODS The clinical data of 86 patients with SAP who were treated from Jul 2011 to Jul 2013 were ret‐rospectively analyzed ,the patients were divided into the control group and the study group according to the nurs‐ing approach ,with 43 cases in each .The control group was treated with conventional nursing ,while the study group was given the nursing interventions on the basis of the control group .The incidence of CVC‐RI ,incidence of adverse reactions in skin puncture site ,and patients′satisfaction with the nursing were observed and compared be‐tween the two groups at 7 or 14 days after the catheterization .RESULTS The incidence of CVC‐RI was 2 .33% in the study group at 7 days of catheterization ,20 .93% in the control group;the incidence of CVC‐RI was 11 .63%in the study group at 14 days of catheterization ,39 .53% in the control group;the incidence of adverse reactions in skin puncture site was 23 .26% in the study group ,60 .47% in the control group;the study group was significant‐ly lower than the control group（P〈0 .05） .CONCLUSION The intensified nursing interventions can significantly reduce the incidence of CVC‐RI and adverse reactions in the skin puncture sites of the patients with SAP ,they can not only extend the service life of the catheter ,but also improve the patients′satisfaction with the nursing and pro‐mote the early rehabilitation ,thus they are worthy to be promoted in the hospital .

关 键 词：护理干预 重症急性胰腺炎 中心静脉留置导管 感染 

分 类 号：R576[医药卫生—消化系统]