全科护理
全科護理
전과호리
FAMILY NURSE
2015年
15期
1393-1395
,共3页
血液肿瘤%中心静脉导管%集束化干预%感染
血液腫瘤%中心靜脈導管%集束化榦預%感染
혈액종류%중심정맥도관%집속화간예%감염
blood cancer%central venous catheter%cluster of intervention%infection
[目的]探讨集束化干预在血液肿瘤病房中心静脉导管病人护理中的应用效果。[方法]将本院血液肿瘤病房留置中心静脉导管的128例病人作为研究对象,采用随机分组法分为对照组与观察组各64例。其中对照组病人予以常规护理,观察组予以集束化干预护理。观察两组病人的留置导管时的并发症发生率,并在拔除管道时取导管末端进行细菌培养,了解导管相关性血流感染(CEBSI)情况。[结果]对照组与观察组病人的 CEBSI 及并发症发生率分别为23.4%、6.3%,20.3%、4.7%,两组的满意率分别为82.9%、95.3%,差异均有统计学意义(P <0.05或 P <0.01)。[结论]血液肿瘤病房留置中心静脉导管的病人采用集束化干预后,减少了病人感染的几率、降低了并发症的发生率,并控制了非计划性拔管的发生,使病人能安全留置管道。
[目的]探討集束化榦預在血液腫瘤病房中心靜脈導管病人護理中的應用效果。[方法]將本院血液腫瘤病房留置中心靜脈導管的128例病人作為研究對象,採用隨機分組法分為對照組與觀察組各64例。其中對照組病人予以常規護理,觀察組予以集束化榦預護理。觀察兩組病人的留置導管時的併髮癥髮生率,併在拔除管道時取導管末耑進行細菌培養,瞭解導管相關性血流感染(CEBSI)情況。[結果]對照組與觀察組病人的 CEBSI 及併髮癥髮生率分彆為23.4%、6.3%,20.3%、4.7%,兩組的滿意率分彆為82.9%、95.3%,差異均有統計學意義(P <0.05或 P <0.01)。[結論]血液腫瘤病房留置中心靜脈導管的病人採用集束化榦預後,減少瞭病人感染的幾率、降低瞭併髮癥的髮生率,併控製瞭非計劃性拔管的髮生,使病人能安全留置管道。
[목적]탐토집속화간예재혈액종류병방중심정맥도관병인호리중적응용효과。[방법]장본원혈액종류병방류치중심정맥도관적128례병인작위연구대상,채용수궤분조법분위대조조여관찰조각64례。기중대조조병인여이상규호리,관찰조여이집속화간예호리。관찰량조병인적류치도관시적병발증발생솔,병재발제관도시취도관말단진행세균배양,료해도관상관성혈류감염(CEBSI)정황。[결과]대조조여관찰조병인적 CEBSI 급병발증발생솔분별위23.4%、6.3%,20.3%、4.7%,량조적만의솔분별위82.9%、95.3%,차이균유통계학의의(P <0.05혹 P <0.01)。[결론]혈액종류병방류치중심정맥도관적병인채용집속화간예후,감소료병인감염적궤솔、강저료병발증적발생솔,병공제료비계화성발관적발생,사병인능안전류치관도。
Objective:To probe into the application effect of cluster intervention on the central venous catheter in patients in blood cancer ward.Methods:A total of 128 patients with indwelling central venous catheter were se-lected as the research objects in blood cancer ward in our hospital and they were randomly divided into control group and intervention group,64 cases in each.The patients in control group were given routine nursing,and pa-tients in intervention group were given cluster of nursing intervention,then to observe the incidence of indwell-ing catheter complications in two groups of patients and take the catheter tip for bacterial culture when unplug-ging the pipeline and know about the catheter related bloodstream infections (CEBSI)situation.Results:The incidence of CEBSI and complications in patients in control group and intervention group were respectively 23.4%and 6.3%,20.3% and 4.7%.The total satisfaction of both group patients was respectively 95.3% and 82.9 %, and the difference was statistically significant (P < 0.05).Conclusion:After the patient's blood cancer ward in-dwelling central venous catheter using cluster of interventions to reduce the chance of infected patients,reducing the incidence of complications,and control the occurrence of unplanned extubation,so that the patient can be safely retained pipeline.
