CAJ | 학술논문

目的了解ICU中心静脉置管患者中心静脉导管感染现状,探讨建立导管日志控制中心静脉导管相关性血流感染(CRBSI)的效果.方法采用类实验性研究方法,便利选取北京市某三甲医院呼吸监护室留置中心静脉导管的患者.对照组51例患者采取常规的护理措施,干预组43例患者采取以建立导管日志为主的一系列护理干预措施.比较两组患者CRBSI的发生率.结果对照组发生感染5例(9.8％),干预组发生感染0例,两组比较差异有统计学意义(x2 =4.453,P＜0.05).干预组导管的千日感染率为0.00,对照组为4.36‰.干预组记录完整的日志为31条(72％)导管,记录不完整的12条(28％).结论建立导管日志,切实做好无菌操作、管路观察及维护等一系列护理干预措施能够降低CRBSI的发生率.
목적 료해ICU중심정맥치관환자중심정맥도관감염현상,탐토건립도관일지공제중심정맥도관상관성혈류감염(CRBSI)적효과.방법 채용류실험성연구방법,편리선취북경시모삼갑의원호흡감호실류치중심정맥도관적환자.대조조51례환자채취상규적호리조시,간예조43례환자채취이건립도관일지위주적일계렬호리간예조시.비교량조환자CRBSI적발생솔.결과 대조조발생감염5례(9.8％),간예조발생감염0례,량조비교차이유통계학의의(x2 =4.453,P＜0.05).간예조도관적천일감염솔위0.00,대조조위4.36‰.간예조기록완정적일지위31조(72％)도관,기록불완정적12조(28％).결론 건립도관일지,절실주호무균조작、관로관찰급유호등일계렬호리간예조시능구강저CRBSI적발생솔.
Objective To understand the status of catheter-related bloodstream infection in Respiratory Intensive Care Unit (RICU),and explore the effect of catheter record in the prevention of catheter-related bloodstream infection (CRBSI) in RICU.Methods A quasi-experimental study was used in the study.The patients with the central venous catheters in the Respiratory Intensive Care Unit of Grade Ⅲ hospital in Beijing were enrolled.The control group was given normal care,and the intervention group was given catheter record and other nursing intervention.The infection rate of CRBSI was compared between two groups after intervention.Results Ninety-four patients were completed date collection,43 patients were in intervention group and 51patients were in control group.The infection of CRBSI was five cases (9.8％) in the control group,and 0 case in the intervention group,and the difference was statistically significant (x2 =4.453,P ＜ 0.05).The thousand-day-infection rate of CRBSI was 0.00 in the intervention group,and 4.36‰ in the control group.The catheter logs which were completely recorded were 31 (72％),and the catheter logs which were not completely recorded were 12 (28％).Conclusions A serious of nursing intervention measures including setting up catheter record,aseptic operation and pipeline observation and maintenance can decrease the infection rate of CRBSI.