目标管理理论干预对策在恶性肿瘤患者中央静脉导管相关血流感染预防中的意义  

The significance of intervention strategies based on target management theory in the prevention of central line-associated bloodstream infection in patients with malignant tumors

作　　者：杨真 周富敏 YANG Zhen;ZHOU Fumin(Dezhou Second People's Hospital,Dezhou,Shandong,25300,China)

机构地区：[1]德州市第二人民医院,山东德州253000

出　　处：《中西医结合护理(中英文)》2025年第1期175-178,共4页Journal of Clinical Nursing in Practice

基　　金：山东省医药卫生科技发展计划项目(2018ws530)。

摘　　要：目的探讨目标管理理论干预对策对预防肿瘤患者中央静脉导管相关血流感染(CLABSI)的意义。方法选取2020年11月至2021年11月德州市第二人民医院收治的110例行中心静脉置管的肿瘤患者为研究对象,按照随机数字表法分为研究组(55例)和对照组(55例)。对照组采用常规中心静脉置管护理,研究组采用目标管理理论干预对策。比较2组的导管防控措施执行合格率、CLABSI感染率、患者导管留置时间、住院时间和炎症因子水平等。结果研究组最大无菌屏障等导管防控措施的执行合格率均高于对照组(P均<0.05)。研究组的CLABSI例次感染率低于对照组(P<0.05),2组的不良预后率无统计学差异(P>0.05)。组间导管留置时间和住院时间经比较,研究组均更短(P均<0.05)。护理后,研究组的白介素-6等炎症因子水平均低于对照组(P均<0.05)。结论目标管理理论干预对策可规范医护人员在导管防控措施落实过程中的行为,有效减少肿瘤患者CLABSI的发生,缩短肿瘤患者的住院时间和导管留置时间,降低炎症因子水平。Objective To explore the significance of intervention strategies based on target management theory in preventing central line-associated bloodstream infection(CLABSI)in cancer patients.Methods A total of 110 cancer patients with central venous catheterization admitted to the Dezhou Second Peoples Hospital from November 2020 to November 2021 were selected as the research subjects,and were divided into a study group(55 cases)and a control group(55 cases)according to the random number table method.The control group received routine central venous catheterization nursing,while the study group received intervention strategies based on target management theory.The qualified rate of catheter prevention and control measures,CLABSI infection rate,catheter retention time,hospitalization time and levels of inflammatory factors were compared between the two groups.Results The qualified rate of catheter control measures such as maximum sterile barrier in the study group was higher than that in the control group(all P<0.05).The CLABSI infection rate in the study group was lower than that in the control group(P<0.05),and there was no statistically significant difference in the poor prognosis rate between the two groups(P>0.05).After comparing the catheter retention time and hospitalization time between groups,the study group had a shorter duration(both P<0.05).After nursing,the levels of interleukin-6 and other inflammatory factors in the study group were lower than those in the control group(all P<0.05).Conclusion Intervention strategies based on target management theory can standardize the behavior of medical staff in the implementation of catheter prevention and control measures,effectively reduce the occurrence of CLABSI in cancer patients, shorten the hospitalization time and catheter retention time of cancer patients, and reduce thelevel of inflammatory factors.

关 键 词：恶性肿瘤 目标管理理论 干预对策 中央静脉导管相关血流感染 

分 类 号：R473.73[医药卫生—护理学]