循证理念下标准集束护理在重症患者防控血管导管相关血流感染中的应用效果  

Application effect of standard cluster nursing on prevention and control of catheter related blood flow infection in critically ill patients under evidence-based concept

作　　者：王娟 惠康花 张萍[3] 孙丽娟[2] WANG Juan;HUI Kanghua;ZHANG Ping;SUN Lijuan(Department of Orthopaedics,the Second People’s Hospital of Lianyungang,Jiangsu Province,Lianyungang222000,China;Department of Emergency Intensive Care Unit,the Second People’s Hospital of Lianyungang,Jiangsu Province,Lianyungang222000,China;Department ofIntensive Care Unit,the Second People’s Hospital of Lianyungang,Jiangsu Province,Lianyungang222000,China)

机构地区：[1]江苏省连云港市第二人民医院骨科,江苏连云港222000 [2]江苏省连云港市第二人民医院急诊监护室,江苏连云港222000 [3]江苏省连云港市第二人民医院重症监护室,江苏连云港222000

出　　处：《中国医药导报》2023年第28期180-183,共4页China Medical Herald

基　　金：江苏省连云港市科协软课题研究项目(Lkxqt21118)。

摘　　要：目的观察循证理念下标准集束护理对重症患者防控血管导管相关血流感染(CRBSI)的效果。方法抽样选取2016年2月至2022年3月江苏省连云港市第二人民医院治疗的88例中心静脉置管患者为研究对象,通过随机数字表法将其分为对照组和试验组,各44例。对照组行常规护理,试验组行循证理念下标准集束护理,比较两组导管血流感染发生率的情况、住院时间、导管不良事件发生率及感染相关指标水平。结果试验组CRBSI发生率、住院时间低于对照组,差异有统计学意义(P<0.05);试验组不良事件总发生率低于对照组,差异有统计学意义(P<0.05);试验组拔管时体温、白细胞计数、C-反应蛋白低于对照组,差异有统计学意义(P<0.05)。结论循证理念下标准集束护理可显著降低重症患者CRBSI发生率,减少不良事件发生,维持感染指标稳定。Objective To observe the effect of standard cluster nursing on prevention and control of catheter related blood stream infection(CRBSI)in critically ill patients under evidence-based concept.Methods From February 2016 to March 2022,88 patients with central venous catheterization in the the Second People’s Hospital of Lianyungang were randomly divided into control group and experimental group,with 44 cases in each group.The control group received routine care,while the experimental group received standard cluster care based on evidence-based concept.The incidence of catheter blood flow infection,hospitalization time,incidence of catheter adverse events,and infection-related indicators were compared between the two groups.Results The incidence of CRBSI and hospitalization time in the experimental group were lower than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of adverse events in experimental group was lower than that in control group,and the difference was statistically significant(P<0.05).The body temperature,white blood cell count,and C-reactive protein in the experimental group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Under the evidence-based concept,standard cluster nursing can significantly reduce the incidence of CRBSI in critically ill patients,reduce the occurrence of adverse events and maintain the stability of infection indicators.

关 键 词：循证理念 标准集束护理 重症 中心静脉导管相关血流感染 

分 类 号：R473[医药卫生—护理学]