中华实验和临床感染病杂志（电子版）
中華實驗和臨床感染病雜誌（電子版）
중화실험화림상감염병잡지（전자판）
CHINESE JOURNAL OF EXPERIMENTAL AND CLINICAL INFECTIOUS DISEASES(ELECTRONIC VERSION)
2014年
4期
531-534
,共4页
持续改进%护理%化疗%外周静脉穿刺中心静脉插管%感染%预防%效果
持續改進%護理%化療%外週靜脈穿刺中心靜脈插管%感染%預防%效果
지속개진%호리%화료%외주정맥천자중심정맥삽관%감염%예방%효과
Continuous improvement%Nursing%Chemotherapy%Peripherally inserted central catheter (PICC)%Infection%Preventive%Effect
目的：观察持续改进护理在预防恶性肿瘤患者化疗期间外周置入中心静脉导管（PICC）感染的疗效。方法采用回顾性对照研究，选择2012年1月至2012年12月123例PICC置管化疗的恶性肿瘤患者作为对照组，选取2013年1月至2013年12月129例PICC置管化疗的恶性肿瘤患者为观察组，比较持续改进护理前后护理人员PICC相关知识及处理能力改进情况，同时比较两组患者PICC置管期间感染发生率。结果持续改进护理实施后，本院肿瘤科护士PICC理论知识及感染处理能力均有显著提高，实施后与实施前比较差异具有统计学意义（P均＜0.05）。对照组PICC感染发生率为13.82%，观察组PICC感染发生率为3.83%，两组比较差异具有统计学意义（χ2=4.100，P＜0.05）。结论应用持续改进护理循环管理模式，有利于减少和消除护理不当导致的 PICC相关感染，具有较好的防控作用，为恶性肿瘤患者化疗的顺利完成创造了必要的条件。
目的：觀察持續改進護理在預防噁性腫瘤患者化療期間外週置入中心靜脈導管（PICC）感染的療效。方法採用迴顧性對照研究，選擇2012年1月至2012年12月123例PICC置管化療的噁性腫瘤患者作為對照組，選取2013年1月至2013年12月129例PICC置管化療的噁性腫瘤患者為觀察組，比較持續改進護理前後護理人員PICC相關知識及處理能力改進情況，同時比較兩組患者PICC置管期間感染髮生率。結果持續改進護理實施後，本院腫瘤科護士PICC理論知識及感染處理能力均有顯著提高，實施後與實施前比較差異具有統計學意義（P均＜0.05）。對照組PICC感染髮生率為13.82%，觀察組PICC感染髮生率為3.83%，兩組比較差異具有統計學意義（χ2=4.100，P＜0.05）。結論應用持續改進護理循環管理模式，有利于減少和消除護理不噹導緻的 PICC相關感染，具有較好的防控作用，為噁性腫瘤患者化療的順利完成創造瞭必要的條件。
목적：관찰지속개진호리재예방악성종류환자화료기간외주치입중심정맥도관（PICC）감염적료효。방법채용회고성대조연구，선택2012년1월지2012년12월123례PICC치관화료적악성종류환자작위대조조，선취2013년1월지2013년12월129례PICC치관화료적악성종류환자위관찰조，비교지속개진호리전후호리인원PICC상관지식급처리능력개진정황，동시비교량조환자PICC치관기간감염발생솔。결과지속개진호리실시후，본원종류과호사PICC이론지식급감염처리능력균유현저제고，실시후여실시전비교차이구유통계학의의（P균＜0.05）。대조조PICC감염발생솔위13.82%，관찰조PICC감염발생솔위3.83%，량조비교차이구유통계학의의（χ2=4.100，P＜0.05）。결론응용지속개진호리순배관리모식，유리우감소화소제호리불당도치적 PICC상관감염，구유교호적방공작용，위악성종류환자화료적순리완성창조료필요적조건。
Objective To investigate the effect of the continuous improvement nursing care in the prevention during chemotherapy in patients with malignant tumor of peripherally inserted central catheter (PICC) infection. Methods Total of 123 patients with cancer chemotherapy with PICC in January 2012 to December 2012 in our hospital were collected as the control group. While 129 cases with cancer chemotherapy with PICC in January 2013 to December 2013 in our hospital were collected as the observation group. Control study were taked, the PICC related knowledge and the processing ability before and after the continuous improvement nursing of the two groups were compared, at the same time, the infection incidence during PICC tube in the two group were compared, respectively. Results After the implementation of continuous improvement of nursing care, oncology nurses in our hospital, the PICC theoretical knowledge and infection ability were improved signiifcantly, with signiifcant difference (P all <0.05). The infection rate of the control group was 13.82%, the infection rate of the observation group was 3.83%, with signiifcant difference (χ2=4.100, P<0.05). Conclusions The nursing of circulation management mode of continuous improvement, is conducive to reduce and eliminate PICC infection related to improper care, has good control effect, for the smooth completion of chemotherapy in patients with malignant tumor and create necessary conditions.
