摘要
目的探讨神经外科重症监护病房(NSICU)血管内导管相关血流感染(CRBSl)的危险因素并提出干预措施。方法选取2017年7月—2019年1月在医院NSICU行置管的277例患者为研究对象,其中62例确诊CRBSl的患者为病例组(CRBSl组),215例未确诊CRBSI的患者为对照组(非CRBSl组)。采取单因素和多因素Logistic回归分析确定影响CRBSl发生的相关危险因素。结果单因素及多因素Logistic回归分析显示,年龄、APACHEⅡ评分、置管天数、置管部位、置管方式、输注静脉营养液、置管者工作年限为影响NSICU发生的独立危险因素(P<0.05)。结论影响NSICU患者CRBSl发生的危险因素诸多且复杂,医护人员应针对上述独立危险因素实施针对性护理干预,以改善患者预后。
Objective To discuss the risk factors of the neurocranial surgery intensive care unit(NSICU)catheter-related blood stream infection(CRBSI)and propose the intervention measures.Methods To select 277 patients admitted in the hospital from July 2017 to January 2019 as the study objects,62 cases confirmed the CRBSI were set as the case group(CRBSI group),215 patieuts unconfirmed CRBSI were set as the control group(non-CRBSI)group.By applying the univariate and multivariate Logistic regression analysis to find out the related risk factors of CRBSI occurrence.Results Univariate analysis and multivariate Logistic regression analysis showed that,age,APACHEII score,catheterization days,catheterization location,catheterization methods,infusion of intravenous nutrient solution and working years of catheterization were the independent risk factors eyect the occurrence of NSICU(P<0.05).Conclusion There were rarious and complex risk factors eyect the occurrence of CRBSL in NSICU patients,medical staffs should carry out targeted nursing intervention according to the independent risk factors above to improve the prognosis of patients.
作者
汤艳春
姚春梅
TANG Yanchun;YAO Chunmei(Liaocheng Brain Hospital of Shandong,Liaocheng,252000,China)
出处
《护理实践与研究》
2021年第13期1920-1923,共4页
Nursing Practice and Research
关键词
神经外科重症监护病房
血管内导管相关血流感染
危险因素
预后
置管部位
置管方式
Neurosurgical intensive care unit
Intravascular catheter-associated bloodstream infections
Risk factors
Prognosis
Catheterization location
Catheterization methods
