肿瘤化疗患者中心静脉置管感染因素与护理管理分析  

Related factors for central venous catheter-related infections in cancer patients undergoing chemotherapy and nursing interventions

作　　者：石小燕[1] 谭丽萍[1] 杨文红[1] 陈韵[1] 李向各 

机构地区：[1]苏州大学附属第二医院高级病房,江苏苏州215004

出　　处：《中华医院感染学杂志》2016年第6期1418-1420,共3页Chinese Journal of Nosocomiology

基　　金：江苏省自然科学基金资助项目(BK20141037)

摘　　要：目的分析肿瘤化疗患者中心静脉置管医院感染的相关因素,并提出干预对策,为临床护理提供依据。方法选取2010年1月-2015年1月在医院诊治的肿瘤化疗患者152例,根据不同护理模式将其随机分为观察组与对照组,每组各76例,观察组采用护理干预,对照组采用常规护理,观察两组患者在护理干预后的医院感染率变化,并使用条件分析法对引起中心静脉置管感染的因素进行分析,数据采用SPSS16.0统计软件进行处理。结果护理干预前两组患者医院感染率分别为10.5%和11.8%,差异无统计学意义;护理干预后观察组患者医院感染率为2.6%显著低于对照组的9.2%,差异有统计学意义(P<0.05);152例患者护理干预前共有17例患者发生中心静脉置管感染,对置管分泌物器皿进行培养,共分离出病原菌15株;年龄、置管时间、化疗时间、基础疾病、静脉高营养以及激素的使用是导致肿瘤化疗患者现中心静脉置管感染的主要原因;年龄、置管时间、化疗时间是导致肿瘤化疗患者中心静脉置管感染的危险因素。结论肿瘤化疗患者中心静脉置管感染因素较多,通过有效的护理干预,能有效降低感染率。OBJECTIVE To explore the related factors for central venous catheter-related infections in cancer patients undergoing chemotherapy and put forward the intervention countermeasures so as to provide guidance for clinical nursing.METHODS A total of 152 cancer patients who underwent chemotherapy from Jan 2010 to Jan2015were enrolled in the study and randomly divided into the observation group and the control group according the nursing modes,with 76 cases in each.The observation group was treated with nursing intervention,while the control group was given the conventional nursing.The incidence rates of nosocomial infections were observed and compared between the two groups after the nursing interventions were taken,the conditional analysis was carried out for the related factors for the central venous catheter-related infections,and the statistical analysis of data was performed with the use of SPSS16.0software.RESULTS The incidence rate of nosocomial infections was 10.5%in the observation group before the nursing intervention,11.8%in the control group,and there was no significant difference;the incidence rate of nosocomial infections was 2.6%in the observation group after the nursing intervention,significantly lower than 9.2%in the control group（P0.05）.The central venous catheter-related infections occurred in 17 of 152patients before the nursing intervention,and totally 15 strains of pathogens were isolated from the catheter secretions.The leading causes of the central venous catheter-related infections in the cancer patients undergoing chemotherapy included the age,catheter indwelling time,time of chemotherapy,underlying disease,intravenous high nutrition,and use of hormones.The risk factors for the central venous catheter-related infections in the cancer patients undergoing chemotherapy included the age,catheter indwelling time,and time of chemotherapy.CONCLUSIONThere are a variety of risk factors for the central venous catheter-related infections in the cancer patients undergoing chemotherapy.The effective n

关 键 词：肿瘤化疗患者 中心静脉置管 感染 护理对策 

分 类 号：R457.2[医药卫生—治疗学]