集束化管理预防新生儿重症监护室经外周静脉穿刺中心静脉置管血流感染的临床效果分析  

Clinical Effect Analysis of Cluster Management in Preventing Bloodstream Infection Through Peripheral Venipuncture and Central Venous Catheterization in Neonatal Intensive Care Unit

作　　者：任燕[1] 马荣[1] Ren Yan;Ma Rong(Department of Neonatology,People's Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830001,Xinjiang,China)

机构地区：[1]新疆维吾尔自治区人民医院新生儿科,新疆乌鲁木齐830001

出　　处：《中外医药研究》2022年第4期108-110,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

基　　金：新疆维吾尔自治区自然科学基金(编号:2019D01C143)。

摘　　要：分析集束化管理预防新生儿重症监护室(NICU)经外周静脉穿刺中心静脉置管(PICC)血流感染的临床效果。方法:选取2020年1月-2021年1月新疆维吾尔自治区人民医院新生儿科收治的PICC新生儿82例为观察对象,根据随机双盲法分为对照组与观察组,各41例。对照组给予常规护理干预,观察组给予集束化护理干预。比较两组PICC血流感染率、PICC及抗生素使用情况、时间、护理前后医护人员手卫生情况评分。结果:观察组血流感染率低于对照组,差异有统计学意义(P<0.05);观察组PICC使用情况及留置时间、抗生素使用情况与每1000个住院日应用时间低于对照组,差异有统计学意义(P<0.05);护理后,对照组医护人员手卫生情况评分高于对照组,差异有统计学意义(P<0.05)。结论:针对NICU应用PICC的新生儿,采用集束化管理模式可降低血流感染率,缩短导管留置时间、降低每1000个住院日抗生素应用时间。Objective:To analyze the clinical effect of cluster management in preventing bloodstream infection through peripheral puncture central catheter(PICC)in neonatal intensive care unit(NICU).Methods:From January 2020 to January 2021,82 PICC neonates admitted to the Department of Neonatology,Xinjiang Uygur Autonomous Region People's Hospital were selected as the observation objects.According to random double-blind method,they were divided into control group and observation group,with 41 cases in each group.The control group was given routine nursing intervention,and the observation group was given cluster nursing intervention.The bloodstream infection rate of PICC,the use of PICC and antibiotics,time,and the score of hand hygiene of medical staff before and after nursing were compared between the two groups.Results:The bloodstream infection rate in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The use of PICC,indwelling time,antibiotic use and application time per 1,000 hospital days in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of hand hygiene of medical staff in the control group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:For neonates who use PICC in the NICU,the cluster management model can reduce the rate of bloodstream infection,shorten the catheter indwelling time,and reduce the antibiotic application time per 1,000 hospital days.

关 键 词：集束化管理 新生儿重症监护室 经外周静脉穿刺中心静脉置管 血流感染 

分 类 号：R47[医药卫生—护理学]