前馈控制理论在导管相关性感染护理管理中的应用  

The application of the feedforward control theory in nursing management of cathe-ter-related infection

作　　者：肖万玲[1] 易云兰[1] 

机构地区：[1]广东省深圳市第三人民医院内科门诊,518102

出　　处：《国际护理学杂志》2015年第22期3151-3153,共3页international journal of nursing

基　　金：深圳市科技局立项课题（编号：201102041）

摘　　要：目的：探讨前馈控制理论引入导管护理管理，对导管相关性感染发生率的影响。方法采用前馈控制护理管理方法对92例患者各类留置导管进行干预，包括护士科学配置、各种导管的置入、导管固定规范护理操作以及留置导管的及时评估等，全程执行规范护理，统计导管相关性感染发生率，与非前馈控制护理管理下91例患者的导管相关性感染率进行比较。观察前馈控制的有效性。结果前馈控制护理92例患者，共置入各种导管126根，非前馈控制护理患者91例，置入导管122根；前馈控制护理组有10人发生导管相关性感，感染率7.9%（10/126），非前馈控制护理组有25人发生导管相关性感染，感染率20.5%（25/122）。两组比较，差异有统计学意义（ P〈0.01）。结论前馈控制护理管理能有效减少导管相关性感染的发生。Objective To discuss feedforward control theories to introduce catheter nursing management, and the impact on the incidence of catheter-related infections. Methods The feedforward control nursing management methods, which included nurses scientific configuration, all kinds of catheter placement, standard nursing operation for catheter fixed and timely assessment of indwelling catheter, was being used to intervene 92 cases of patients with indwelling catheter. The standard nursing was carried out during the whole process of the management. The catheter related infection rate was compared with the 91 patients of un-feedforward control nursing management, and the effectiveness of the feedforward control was observed. Results A total of 92 patients under feedforward control nursing were placed into 126 catheters of various kinds and 91 patients under un-feedforward control nursing were placed into 122 catheters;totally 10 patients had cathe- ter-related infection in feedforward control group with an infection rate of 7. 9% （10/126）, while 25 patients had catheter-related infection in the un-feedforward control nursing group with an infection rate of 20. 5% （ 25/122 ） . The differences were statistically significant （ P〈0. 01） . Conclusions The feedforward control can reduce the catheter-related infection effectively.

关 键 词：前馈控制 导管相关性感染 护理 

分 类 号：R47[医药卫生—护理学] C931[医药卫生—临床医学]