CAJ | 학술논문

目的：探讨医护合作小组活动在预防重症监护患者导管相关感染中的作用。方法2011年1月～12月在重症监护室开展医护合作小组活动，随机抽查100例（A组）符合入选条件的患者，监测导管使用与患者导管相关性感染发生情况，并与2010年同期100例（B组）符合入选条件的患者进行对照分析。结果 A组中心静脉导管、呼吸机通气导管、导尿管使用率分别为81．13％、42、71％、60．60％，均低于B组中心静脉导管、呼吸机通气导管、导尿管使用率分别为82．95％、56．41％、81．28％，除中心静脉导管外，呼吸机通气导管与导尿管使用率两组比较有显著性差异（P＜0．01）；A组中心静脉导管、呼吸机通气导管、导尿管相关性感染率分别为0．52‰、3．97‰、3．48‰，均低于B组中心静脉导管、呼吸机通气导管、导尿管感染率分别为1．96‰、7．94‰、6．01‰，两组比较无显著性差异（P ＞0．05）。结论开展医护合作小组活动，有利于提高预防导管相关性感染各项措施执行力，降低各种导管使用率和导管相关性感染率。
목적：탐토의호합작소조활동재예방중증감호환자도관상관감염중적작용。방법2011년1월～12월재중증감호실개전의호합작소조활동，수궤추사100례（A조）부합입선조건적환자，감측도관사용여환자도관상관성감염발생정황，병여2010년동기100례（B조）부합입선조건적환자진행대조분석。결과 A조중심정맥도관、호흡궤통기도관、도뇨관사용솔분별위81．13％、42、71％、60．60％，균저우B조중심정맥도관、호흡궤통기도관、도뇨관사용솔분별위82．95％、56．41％、81．28％，제중심정맥도관외，호흡궤통기도관여도뇨관사용솔량조비교유현저성차이（P＜0．01）；A조중심정맥도관、호흡궤통기도관、도뇨관상관성감염솔분별위0．52‰、3．97‰、3．48‰，균저우B조중심정맥도관、호흡궤통기도관、도뇨관감염솔분별위1．96‰、7．94‰、6．01‰，량조비교무현저성차이（P ＞0．05）。결론개전의호합작소조활동，유리우제고예방도관상관성감염각항조시집행력，강저각충도관사용솔화도관상관성감염솔。
Objective To explore the key role of the cooperative group activities in the prevention of intensive care pa-tients with catheter-related infections .Method To carry out medical cooperative group activities from January 2011 to De-cember 2011in the intensive care unit ,random inspection 100 cases (A group) met the inclusion criteria ,and monitor cathe-ters and the incidence of catheter-related infections ,and compared with the same period in 2010 .Results The central venous catheters ,ventilator and catheter utilization rates of A group were 81 .13% ,42 .71% ,60 .60% ,lower than that of B group which were 82 .95% ,56 .41% ,81 .28% .After statistics analysis ,breathing machine ventilation and catheter usage had sig-nificant differences except central venous catheter ,the differences had statistical significance (P<0 .01);central venous cath-eter ,respiratory machine ventilation and catheter related infections rate of A group were 0 .52 ‰ ,3 .97 ‰ ,3 .48 ‰ lower than that of B group which were 1 .96 ‰ ,7 .94‰ ,6 .01‰ .But due to insufficient sample size ,there was no significant difference after statistics analysis (P >0 .05) .Conclusion It is helpful to improve the prevention of catheter-related infec-tions execution of the measures and reduce the utilization of a variety of catheters and catheter-related infections carrying out health care cooperative group activities .