摘要
目的探讨中心静脉置管(PICC)带管出院患者感染的危险因素,为预防措施的制定与实施提供依据。方法选取2010年1月-2012年7月医院92例PICC带管出院患者为研究对象,将不同文化程度、社会支持程度患者的感染预防意识、预防知识掌握程度及感染发生率进行比较,并对所有患者进行相应的健康教育。结果大专及以上和高社会支持程度患者的感染发生率分别为0和2.63%,均低于其他患者,预防意识较高率分别为87.50%和86.84%,均高于对照组,预防知识掌握较佳率为81.25%和81.58%,均高于对照组,经针对性健康教育后,所有患者的感染预防意识、预防知识掌握程度均优于健康教育前,差异有统计学意义(P<0.05)。结论感染预防意识及预防知识掌握程度较低是影响PICC带管出院患者感染发生率的重要因素,对于文化程度和社会支持程度较低者应给予重点健康教育。
OBJECTIVE To study and analyze the risk factors of infections in the patients discharged PICC so as to put forward the prevention measures. METHODS A total of 92 patients discharged with PICC in the hospital from Jan 2010 to Jul 2012 were selected as the research objects, and the infection prevention awareness, mastering degree of prevention knowledge, infection rate of the patients with different education levels and social support degree were compared, and all the patients were intervened with health education. RESULTS The infection rates of the patients with junior college and above and the patients with high social support degree were 0% and 2. 63%, respectively, which were lower than those of other patients, the high rates of infection prevention awareness were respectively 87. 50% and 86. 84%, higher than those of other patients, the rates of mastering degree of the prevention knowledge were respectively 81. 25% and 81. 58%, which were higher than those of other patients. Both the infection prevention awareness and the mastering degree of prevention knowledge of all the patients were better after the health education than before the health education, the difference was statistically significant （P〈 0.05）. CONCLUSION The lower infection prevention awareness and the mastering degree of prevention knowledge are the main factors that influence the incidence of the infections in the patients discharged with PICC, the patients with lower education level and social support degree should be given the intensive health education.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第10期2311-2312,2321,共3页
Chinese Journal of Nosocomiology
关键词
中心静脉置管
带管出院患者
影响因素
预防措施
Central venous catheter
Patient discharged with catheter
Impact factor
Prevention measure
