护理干预预防中心静脉导管相关性感染的效果评价

目的 分析护理干预在预防ICU中心静脉导管相关性感染中的应用效果.方法 采用目标性监测方法,进行护理干预,包括:严格无菌技术、缩短导管留置时间、选择合适置管部位及导管、敷料的选择与更换、导管接头与输入装置的护理和防止血栓形成,对实施护理干预前后ICU中心静脉导管相关性感染的发生率进行统计分析.结果 实施护理干预措施之后,总置管天数明显增加(P＜0.05),中心静脉导管相关性感染率从2008年的7.67/千导管日、2009年的5.69/千导管日,下降至2010年的2.28/千导管日(P＜0.05).结论 护理干预能够有效降低ICU中心静脉导管相关性感染的发生率.

Efficacy of nursing interventions in prevention of central venous catheter-related infections

OBJECTIVE To analyze the effect of nursing interventions in prevention of central venous catheter-related infections in ICU.METHODS Different means of targeted surveillance and nursing interventions were carried out,including implementing strict aseptic techniques,shortening the time of catheter indwelling,selecting the appropriate site and catheter,choosing and replacing dressing,nursing of the catheter connector and input device,and preventing thrombopoiesis.The incidence of central venous catheter-related infections in ICU before and after implementing the nursing interventions was statistical analyzed.RESULTS The total indwelling catheter-days were significantly increased after the implementation of nursing interventions(P<0.05),the incidence of central venous catheter-related infections decreased to 2.28/thousand catheter-days in 2010,which was 7.67/thousand catheter-days in 2008 and 5.69/thousand catheter-days in 2009(P<0.05).CONCLUSION Implementation of the nursing interventions significantly reduces the incidence rate of central venous catheter-related infections.