摘要
目的:探讨循证护理在预防急诊重症监护室病人导管相关血流感染(CRBSI)中的临床应用效果。方法:采用回顾性分析法,按四川省遂宁市中心医院实施循证护理时间前后,将重症加强护理病房(ICU)行中心静脉置管的194例病人纳入非循证组(施行常规护理)与循证组(施行循证护理),每组97例,比较两组患者CRBSI发生率等方面的差异。结果:循证组CRBSI发生率为3.1%,明显低于非循证组的16.5%,且差异具有统计学意义(χ2=9.86,P=0.043)。此外,进行循证护理医护人员无菌操作总合格率为82.49%,而非循证组仅为65.92%,差异具有统计学意义(χ2=8.492,P=0.038)。结论:循证护理可显著提高医护人员无菌操作的依从性,并有助于降低ICU病房患者CRBSI的发生几率。
Objective： To investigate the application effect of evidence-based nursing interventions in the emergency Intensive Care Unit（ ICU） patients with prevention of catheter related blood stream infection（ CRBSI）.Methods： A retrospective analysis,according to Suining Central Hospital before and after implementation of evidence-based nursing time,194 patients in ICU with central venous catheter into the non-evidence-based group（ conventional care） and evidence-based group（ evidence-based nursing interventions）,97 patients in each group,the incidences of CRBSI and other differences were compared between two groups. Results： CRBSI rate in evidence-based group was 3. 1%,CRBSI incidence in the non-evidence-based group was 16. 5%,the difference was statistically significant（ χ^2= 9. 86,P = 0. 043）. In addition,evidence-based aseptic medical care total eligible rate of 82. 49% rather than non-evidence-based group was only 65. 92%,the difference was statistically significant（ χ^2= 8. 492,P = 0. 038）. Conclusion： Evidence-based nursing intervention can significantly improve adherence to aseptic health care,and help to reduce the incidence of CRBSI in ICU patients
作者
蔡国容
CAI Guo- rong(The Central Hospital of Suining ,Suining 629000, Chin)
出处
《现代医学》
2016年第9期1245-1249,共5页
Modern Medical Journal
关键词
循证护理
重症监护病房
导管相关血流感染
中心静脉导管
evidence-based nursing interventions
intensive care unit
catheter related blood stream infection
central venous catheter
