集束化管理措施在PICC导管患者中的应用效果分析

Application effect of cluster management measures on patients placed with PICC

  • 摘要: 目的 分析集束化管理措施在中心静脉导管(PICC)患者相关性血流感染的应用效果。方法 选择2013年5月-2016年5月医院接受治疗的PICC肿瘤患者150例为研究对象,分析PICC导管及集束化管理导管相关性血流感染(CRBSI)的发生情况; 将患者分为常规组与集束化组,各75例; 常规组为传统管理法,集束化组为PICC导管集束化管理法,观察相关性血流感染的发生情况与PICC导管的利用率。结果 集束化组患者置导管时长(236.43±10.12)d,短于常规组的(238.67±9.35)d,两组比较差异无统计学意义(t=1.4080,P=0.1612); 集束化组患者的导管平均用时为(136.43±10.49)d,大于常规组的(88.45±9.12)d,两组比较差异有统计学意义(P<0.05); 集束化组患者的平均住院时间为(236.43±8.49)d,常规组患者为(257.02.02±10.37)d,两组比较差异有统计学意义(P<0.05); 集束化组患者仅有4例出现CRBSI,其发生率为12.70‰,常规组患者出现18例CRBSI,其发生率为33.51‰,两组比较差异有统计学意义(P<0.05); 集束化组患者的导管利用率为53.12%,常规组患者为33.84%,两组比较差异有统计学意义(P<0.05)。结论 采用集束化管理PICC导管相关性血流感染,可以显著提高PICC导管的利用率和降低血流感染,值得临床大力推广。

     

    Abstract: OBJECTIVE To observe the application effect of cluster management measures on patients with PICC-related bloodstream infection. METHODS A total of 150 tumor patients who were treated with PICC in the hospital from May 2013 to May 2016 were recruited as the study objects.The incidence of PICC-related bloodstream infection was analyzed after the cluster management.The enrolled patients were divided into the conventional group and the cluster group, with 75 cases in each group.The conventional group was treated with traditional method, while the cluster group was treated with cluster management of PICC.The incidence of PICC-related bloodstream infection and utilization rate of PICC were observed. RESULTS The catheter indwelling time of the cluster group was (236.43±10.12) days, shorter than (238.67±9.35) days of the conventional group, and there was no significant difference between the two groups (t=1.4080,P=0.1612).The mean duration of catheterization of the cluster group was (136.43±10.49) days, longer than (88.45±9.12) days of the conventional group, and there was significant difference between the two groups (P<0.05).The mean hospitalization duration of the cluster group was (236.43±8.49) days, the conventional group (257.02±10.37) days, and there was significant difference between the two groups (P<0.05).Only 4 patients had catheter-related bloodstream infection (CRBSI) in the cluster group, with the incidence rate 12.70‰; 18 patients had CRBSI in the conventional group, with the incidence rate 33.51‰, and there was significant difference between the two groups (P<0.05).The utilization rate of catheters was 53.12% in the cluster group, 33.84% in the conventional group, and there was significant difference between the two groups (P<0.05). CONCLUSION The cluster management may remarkably raise the utilization rate of PICC and reduce the incidence of PICC-related bloodstream infection, and it is worthy to be promoted in the hospital.

     

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