摘要
目的探讨实施规范化护理流程对深静脉导管相关感染(CRI)的临床效果,为临床护理提供参考依据。方法选取2011年5月-2013年12月实施中心静脉导管患者616例,289例患者实施常规护理为对照组,327例患者实施规范化护理措施为试验组,对比两组患者的感染率及临床指标,采用SPSS 21.0软件进行统计分析。结果试验组患者感染率3.36%,明显低于对照组的10.73%,对比差异有统计学意义(P=0.021);试验组患者短期感染发生例数明显少于对照组;试验组导管堵管率为3.06%、非计划性拔管率为2.45%、置管天数(13.36±0.82)d、住院天数(12.71±0.77)d均优于对照组,对比差异均有统计学意义(P<0.05)。结论规范化护理流程有助于降低深静脉导管相关感染率,延长导管留置时间,减少不良拔管发生率,利于治疗恢复。
OBJECTIVE To investigate the clinical effect of the implementation of standardized clinical care process on deep venous catheter-related infections（CRI）so as to provide reference for clinical nursing.METHODS Totally616 cases in May 2011 to Dec.2013 treated with central venous catheters were enrolled,in which 289 cases of patients with the implementation of routine care were set as the control group and 327 cases with the implementation of standardized care measures as the experiment group.The two groups of patients were compared for the infection rate and the clinical indexes.The software SPSS 21.0was used for statistical analysis.RESULTS The infection rate was 3.36%in the experimental group,which was significantly lower than 10.73%in the control group（P=0.021）.The number of short-term infection cases in the experimental group was significantly less than that in the control group.The catheter plugging rate was 3.06%,the unplanned estuation rate 2.45%,the catheter days（13.36±0.82）d,and hospitalization days（12.71±0.77）d in the experimental group,which were significently better than the control group（P〈0.05）.CONCLUSIONThe standardized care process helps to reduce deep venous catheter-related infections,prolong catheter time,and reduce the incidence of adverse extubation,which is beneficial for treatment recovery.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第8期1803-1804,1807,共3页
Chinese Journal of Nosocomiology
基金
浙江省医药卫生科技基金项目(2013KYA036)
关键词
规范化护理
流程
深静脉导管
相关感染
Standardized nursing
Processes
Deep venous catheters
Related infection
