CAJ | 학술논문

目的探究集束干预策略对预防血液科PICC置管相关性血流感染的临床意义。方法选择2013年3月-2014年9月期间医院血液科收治的经外周血管留置入中心静脉导管（PICC）穿刺的218例患者为研究对象。其中，对照组106例，接受临床常规护理；观察组112例，接受集束干预护理。对比两组患者的CRBSI感染率、导管留置时间、住院天数、C-反应蛋白数值和G试验查内毒素数值以评价其护理效果。结果观察组的CRBSI感染率、平均留置时间、平均住院天数、C-反应蛋白数值和G试验查内毒素数值均明显低于对照组，各指标间差异均具有统计学意义(P＜0.05）。结论采用集束干预护理方案，能有效地减少PICC置管患者的导管相关性血流感染的机会，且能缩短留置时间和降低患者住院时间，从而减轻患者医疗成本。
목적탐구집속간예책략대예방혈액과PICC치관상관성혈류감염적림상의의。방법선택2013년3월-2014년9월기간의원혈액과수치적경외주혈관류치입중심정맥도관（PICC）천자적218례환자위연구대상。기중，대조조106례，접수림상상규호리；관찰조112례，접수집속간예호리。대비량조환자적CRBSI감염솔、도관류치시간、주원천수、C-반응단백수치화G시험사내독소수치이평개기호리효과。결과관찰조적CRBSI감염솔、평균류치시간、평균주원천수、C-반응단백수치화G시험사내독소수치균명현저우대조조，각지표간차이균구유통계학의의(P＜0.05）。결론채용집속간예호리방안，능유효지감소PICC치관환자적도관상관성혈류감염적궤회，차능축단류치시간화강저환자주원시간，종이감경환자의료성본。
Objective To explore the clinical significance of the application of cluster intervention strategies for the prevention of PICC related bloodstream infection.Methods The research subjects were 218 patients who were admitted to the Department of Hematology and received peripherally inserted central catheterization (PICC) from March 2013 to September 2014. Among them, 106 patients in the control group received routine clinical care, while 112 patients in observation group received the cluster intervention. Comparison was made between two groups in terms of CRBSI infection rate, indwelling time of catheter, hospitalization days, number of C-reactive protein and figure for endotoxin identified with G test, so as to evaluate the efficacy of clinical care.Results The CRBSI infection rate, average observation group, average hospitalization days, number of C-reactive protein and figure for endotoxin identified with G test in observation group were significantly lower than the control group. The differences in all indicators showed statistical significance (P<0.05).Conclusion The application of cluster intervention can effectively reduce PICC related bloodstream infection rate and shorten the indwelling time and the hospitalization days, thereby reducing the patient's medical cost.