植入式静脉输液港相关感染管理执行单的设计及应用  

Design and application of infection management checklist for implantable venous access port

作　　者：沈志莹 阮春红[1] 李成媛[1] Shen Zhiying;Ruan Chunhong;Li Chengyuan(Department of Hematology,Xiangya Third Hospital of Central South University Changsha,410013,China)

机构地区：[1]中南大学湘雅三医院血液内科,湖南长沙410013

出　　处：《护理学杂志》2023年第7期58-63,共6页Journal of Nursing Science

基　　金：湖南省卫生健康委科研计划一般资助课题(B202314018897)。

摘　　要：目的开发植入式静脉输液港相关感染管理执行单,并探索其在肿瘤患者中的应用效果。方法通过文献回顾、小组会议、半结构化访谈、专家咨询等方法设计植入式静脉输液港相关感染管理执行单。将住院患者按照病区随机分为研究组(n=160)和对照组(n=148)。对照组执行植入式静脉输液港常规护理,研究组应用执行单实施植入式静脉输液港相关感染管理。结果干预后,研究组植入式静脉输液港相关感染发生率及感染处理耗时显著低于和短于对照组(均P<0.05);研究组护士植入式静脉输液港相关感染管理知信行问卷得分显著高于对照组(均P<0.05)。结论实施清单管理可有效降低植入式静脉输液港相关感染发生率,缩短感染控制耗时,同时提高护士相关感染控制的知识、信念和行为水平。Objective To develop an infection management checklist for implantable venous access port,and to explore its application effect in tumor patients.Methods An infection management checklist for implantable venous access port was designed through lite-rature review,group discussions,semi-structured interviews,expert consultation,etc.Oncology wards were randomly divided into 2 clusters,with inpatients in one cluster assigned into the control group(n=148),who received routine nursing for implantable port,and those in the other cluster into the intervention group(n=160),who were managed with the infection management checklist.Results After the intervention,the incidence rate of port-associated infection in the intervention group was significantly lower than that in the control group;the time spent on port-associated infection treatment in the former group was significantly shorter than in the latter group(all P<0.05).Scores of port-associated infection KAP(knowledge,belief and behavior)survey of nurses in the intervention group were higher than scores of nurses in the control group(P<0.05 for all).Conclusion Checklist based management could reduce the incidence rate of port-associated infection,shorten the time of infection control,and improve nurses′KAP of port-associated infection control.

关 键 词：植入式静脉输液港 导管相关感染 感染管理执行单 医院感染 感染控制 静脉治疗 

分 类 号：R472[医药卫生—护理学]