集束化策略在肿瘤患者PICC置管预防感染的应用效果及价值  

Application effects and value of cluster strategy in the prevention of PICC catheter infection in patients with tumor

作　　者：郑振茹[1] 宁晓辉[1] 田溢卿[1] 段哲萍[1] ZHENG Zhenru;NING Xiaohui;TIAN Yiqing(Department of Oncology,Hebei Provincial People's Hospital,Hebei,Shijiazhuang 050051,China)

机构地区：[1]河北省人民医院肿瘤科,石家庄市050051

出　　处：《河北医药》2019年第10期1581-1584,共4页Hebei Medical Journal

摘　　要：目的探讨集束化策略应用于肿瘤患者PICC置管感染预防中的效果与价值。方法随机选取接受PICC置管的肿瘤患者116例,随机分为观察组与对照组,每组58例。2组患者接受PICC置管,对照组采取常规护理模式进行护理;观察组在对照组现有基础上实施集束化策略,观察2组患者的PICC置管后感染预防情况以及患者对2组护理模式的满意程度。结果 2组PICC置管带管时间比较差异无统计学意义(P>0.05);观察组患者单根导管使用时长较对照组更长(P<0.05);观察组的平均住院时间比对照组要短(P<0.05)。观察组感染发生率较对照组低(P<0.05)。观察组患者的满意程度,高于对照组(P<0.05)。观察组PICC置管并发症的总发生率明显低于对照组,差异有统计学意义(P<0.05)。结论将集束化策略应用肿瘤患者PICC置管感染预防之中,能有效降低感染发生率,提高了PICC置管安全性,一定程度上提升了患者对护理服务的满意程度,获得临床同行与广大患者的认可。值得临床推广应用。Objective To explore the application effects and value of cluster strategy in the prevention of PICC catheter infection in patients with tumor. Methods A total of 116 patients with tumor were randomly divided into observation group ( n =58) and control group ( n =58). The patients in both groups were treated by PICC catheter. The patients in control group were treated by routine nursing mode,however, the patients in observation group,on the basis of control group, were treated by cluster strategy.Then the prevention of infection after PICC catheterization and satisfaction degree of patients were observed and compared between the two groups. Results There was no statistical difference in the duration of PICC catheterization between the two groups ( P >0.05).But the duration of a single tube in observation group was significantly longer than that in control group ( P <0.05). The average hospital stay in observation group was significantly shorter than that in control group ( P <0.05).The incidence of infection (1.7%) and total incidence of complications (5.17%) in observation group were significantly lower than those in control group (84.5%,32.75%,respectively, P <0.05). In addition, the satisfaction degree of the patients in observation group (96.6%) was significantly higher than that (84.5%) in control group ( P <0.05). Conclusion Cluster strategy in the prevention of PICC catheter infection in patients with tumor can effectively reduce the incidence of infection, improve the safety of PICC catheter and improve the patient's satisfaction degree to nursing service, which is worth using widely in clinical practice.

关 键 词：PICC 肿瘤 感染预防 并发症 

分 类 号：R473.73[医药卫生—护理学]