摘要
目的:探讨ICU多准则决策分析法构建集束干预策略对中心静脉导管相关性感染情况的干预效果。方法:入选我院2014年5月~2015年4月重症监护病房收治的予以中心静脉置管的高龄患者80例,随机等分为研究组和对照组,研究组予以多准则决策分析法构建集束干预护理法;对照组进行常规护理,两组均护理4周,比较两组发生中心静脉导管相关性感染的情况及病原菌分布情况。结果:研究组发生导管相关血流感染(CRBSI)、局部感染情况显著低于对照组,差异有统计学意义(P<0.05);研究组的CRBSI病原菌检出4株,包括肠球菌1株,金黄色葡萄球菌2株,大肠埃希菌1株;对照组检出CRBSI病原菌16株,包括肠球菌4株,金黄色葡萄球菌5株,大肠埃希菌2株,铜绿假单胞菌3株,肺炎克雷伯菌及表皮葡萄球菌各1株。结论:重症监护病房中心静脉置管患者进行多准则分析决策构建集束干预策略,可显著降低中心静脉导管相关性感染的发生,降低穿刺部位侵入病原菌,效果确切,值得临床推广。
ObjectiveTo discuss the interference effect of bundle interference strategy constructed with multi - criteria decision method on central venouscatheter related infection. Methods：Selected 80 elderly patients receiving central venous catheterization admitted in ICU of our hospital from May 2014 to A-pril 2015, and they were divided into research group and control group equally at random, the bundle interference nursing constructed with multi -criteriadecision method was given to the patients in the research group, and conventional nursing was given to the patients in the control group, and patients in bothgroups received 4 weeks＇ nursing, and they were compared in the central venous catheter related infection and distribution of pathogenic bacteria. Results ：The catheter related bloodstream inflection （CRBSI） and local infection of patients in the research group were significantly lower than those of patients in thecontrol group, and the difference was statistically significant （P 〈0.05） ; 4 strains of CRBSI pathogenic bacteria were detected in the research group, in-cluding 1 strain of enterecoccus, 2 strains of staphylococcus aureuses, 1 strain of Escherichia coli; 16 strains of CRBSI pathogenic bacteria were detected inthe control group, including 4 strains of enterococcus, 5 strains of staphylococcus anreuses, 2 strains of Escherichia coli, 3 strains of pseudomonas aerugino-sa and 1 strain of Klebsiella pneumonia and staphylococcus epidermid respectively. Conclusion：The bundle interference strategy constructed with multi - cri-teria decision method for the ICU patients receiving central venous catheterization could significantly reduce the occurring of central venous catheter relatedinfection, reduce the invasion of pathogenic bacteria at the puncture site, with accurate effect, and was worth promoting clinically.
出处
《护理实践与研究》
2017年第3期113-115,共3页
Nursing Practice and Research
基金
深圳市宝安区科技局资助项目(2016cx277)
关键词
集束干预策略
中心静脉导管感染
多准则决策分析
Bundle interference strategy
Central venous catheter infection
Multi - criteria decision analysis
