集束化护理管理在预防新生儿PICC导管相关性血流感染中的应用
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摘要
目的:探讨集束化护理管理(CLB)在预防新生儿PICC导管相关性血流感染(CRBSI)中的应用效果。方法:将2017年1月~8月收治的40例新生儿作为对照组,采取一般的深静脉置管护理;将2017年9月~2018年6月收治的40例新生儿作为观察组,实施CLB。比较两组CRBSI发生率、医护人员手卫生依从性、抗生素和PICC应用情况。结果:观察组CRBSI感染率低于对照组(P<0.05);观察组医护人员手卫生依从率明显高于对照组(P<0.05),且抗生素应用时间、PICC使用率和留置时间均明显低于对照组(P<0.01,P<0.05)。结论:CLB可以降低新生儿CRBSI发生率,且可以提高医护人员手卫生依从性,提高抗生素和PICC导管的应用效率,从而保障了新生儿静脉输液的顺利开展。
Objective: To investigate the clinical effect of central line bundle( CLB) in preventing catheter related bloodstream infections( CRBSI) for neonates undergoing PICC. Methods: A total of 40 neonates admitted from January to August 2017 were taken as the control group,and general deep vein catheterization nursing was adopted. 40 neonates admitted from September 2017 to June 2018 were treated as observation group,and CLB was conducted. Between the two groups,the incidence of CRBSI,hand hygiene compliance and the use of antibiotics and PICC were compared. Results: Compared with the control group,the infection rate of CRBSI in the observation group was lower( P < 0. 05),the compliance rate of hand hygiene was significantly higher( P < 0. 05),and the average days of antibiotic application,PICC usage rate and indwelling time were significantly lower( P < 0. 05). Conclusion: CLB can reduce the incidence of neonatal CRBSI,improve the hand hygiene compliance of medical staff and the efficiency application of antibiotics and PICC,thus ensuring the smooth development of neonatal intravenous infusion.
Objective: To investigate the clinical effect of central line bundle( CLB) in preventing catheter related bloodstream infections( CRBSI) for neonates undergoing PICC. Methods: A total of 40 neonates admitted from January to August 2017 were taken as the control group,and general deep vein catheterization nursing was adopted. 40 neonates admitted from September 2017 to June 2018 were treated as observation group,and CLB was conducted. Between the two groups,the incidence of CRBSI,hand hygiene compliance and the use of antibiotics and PICC were compared. Results: Compared with the control group,the infection rate of CRBSI in the observation group was lower( P < 0. 05),the compliance rate of hand hygiene was significantly higher( P < 0. 05),and the average days of antibiotic application,PICC usage rate and indwelling time were significantly lower( P < 0. 05). Conclusion: CLB can reduce the incidence of neonatal CRBSI,improve the hand hygiene compliance of medical staff and the efficiency application of antibiotics and PICC,thus ensuring the smooth development of neonatal intravenous infusion.
引文
[1]陈秀文,李辉,谭彦娟,等.新生儿PICC相关性血栓的研究进展[J].中华护理杂志,2017,52(8):991-996.
[2]赵京雷,于新颖,范玲,等.10例新生儿经下肢静脉置入中心静脉导管的观察及护理[J].中国医科大学学报,2015,44(10):953-955.
[3]黎容清,江岱琪,吕玉洁,等.不同病原菌所致PICC相关血流感染的观察与护理[J].中华护理杂志,2016,51(11):1368-1370.
[4]黄宝秋.PICC导管内血栓性堵管的护理方法分析[J].中国全科医学,2017,20(12):306-307.
[5]穆爱兰,商中秀,薄纯丽.晚期肺癌患者PICC导管维护中集束化护理效果研究[J].重庆医学,2017,46(3):212-213.
[6]李旭英,谌永毅,王一任,等.PICC专科护士对《静脉治疗护理技术操作规范》依从性的研究[J].中华护理杂志,2016,51(10):1212-1216.
[7]周煚,田春辉.极低出生体重儿PICC穿刺部位皮肤护理措施的改进[J].中华护理杂志,2018,53(3):281-284.
[8]孟凡慧,刘心菊,郭丹,等.肿瘤患者PICC导管集束化护理维护对置管部位细菌定植率的影响[J].中华医院感染学杂志,2016,26(21):4985-4986.
[9]刘秀丽.集束化护理干预对PICC置管化疗患者并发症、治疗依从性及生存质量的影响[J].齐鲁护理杂志,2017,23(7):57-58.
[10]廖瑞月.延续性护理在肿瘤PICC置管出院患者中的应用[J].齐鲁护理杂志,2016,22(19):77-78.
[11]黄泓,李秋梅,黄苑萍.全程护理干预在肿瘤患者PICC管路自我维护中的应用[J].齐鲁护理杂志,2018,24(3):70-72.
[12]曾丽.肿瘤化疗患者行PICC期间自我护理能力和影响因素分析[J].齐鲁护理杂志,2018,24(11):50-53.
[13]邵莉莉.集束化护理在肿瘤患者PICC维护中的应用[J].齐鲁护理杂志,2018,24(7):101-102.
[14]李燕英,叶志珍,刘莹.集束化护理在门诊PICC导管维护患者中的应用[J].齐鲁护理杂志,2016,22(12):34-35.
[15]王艳.头静脉PICC置管时导管异常折返并发静脉炎1例临床护理[J].齐鲁护理杂志,2017,23(4):93-95.
[2]赵京雷,于新颖,范玲,等.10例新生儿经下肢静脉置入中心静脉导管的观察及护理[J].中国医科大学学报,2015,44(10):953-955.
[3]黎容清,江岱琪,吕玉洁,等.不同病原菌所致PICC相关血流感染的观察与护理[J].中华护理杂志,2016,51(11):1368-1370.
[4]黄宝秋.PICC导管内血栓性堵管的护理方法分析[J].中国全科医学,2017,20(12):306-307.
[5]穆爱兰,商中秀,薄纯丽.晚期肺癌患者PICC导管维护中集束化护理效果研究[J].重庆医学,2017,46(3):212-213.
[6]李旭英,谌永毅,王一任,等.PICC专科护士对《静脉治疗护理技术操作规范》依从性的研究[J].中华护理杂志,2016,51(10):1212-1216.
[7]周煚,田春辉.极低出生体重儿PICC穿刺部位皮肤护理措施的改进[J].中华护理杂志,2018,53(3):281-284.
[8]孟凡慧,刘心菊,郭丹,等.肿瘤患者PICC导管集束化护理维护对置管部位细菌定植率的影响[J].中华医院感染学杂志,2016,26(21):4985-4986.
[9]刘秀丽.集束化护理干预对PICC置管化疗患者并发症、治疗依从性及生存质量的影响[J].齐鲁护理杂志,2017,23(7):57-58.
[10]廖瑞月.延续性护理在肿瘤PICC置管出院患者中的应用[J].齐鲁护理杂志,2016,22(19):77-78.
[11]黄泓,李秋梅,黄苑萍.全程护理干预在肿瘤患者PICC管路自我维护中的应用[J].齐鲁护理杂志,2018,24(3):70-72.
[12]曾丽.肿瘤化疗患者行PICC期间自我护理能力和影响因素分析[J].齐鲁护理杂志,2018,24(11):50-53.
[13]邵莉莉.集束化护理在肿瘤患者PICC维护中的应用[J].齐鲁护理杂志,2018,24(7):101-102.
[14]李燕英,叶志珍,刘莹.集束化护理在门诊PICC导管维护患者中的应用[J].齐鲁护理杂志,2016,22(12):34-35.
[15]王艳.头静脉PICC置管时导管异常折返并发静脉炎1例临床护理[J].齐鲁护理杂志,2017,23(4):93-95.