【摘要】：目的研究分析品管圈對(duì)經(jīng)外周置入中心靜脈導(dǎo)管(PICC)置管術(shù)后降低導(dǎo)管感染率的效果,為預(yù)防置管感染提供依據(jù)。方法選擇2011年6月-2015年6月住院治療需行PICC置管的患者256例作為研究對(duì)象,將2011年6月-2013年6月的128例患者作為對(duì)照組,給予常規(guī)護(hù)理干預(yù)措施;將2013年7月-2015年6月的128例患者作為觀察組,給予品管圈護(hù)理模式;分析PICC置管術(shù)后的導(dǎo)管感染病原菌分布,對(duì)比兩組不同時(shí)期PICC置管術(shù)后的導(dǎo)管感染率、干預(yù)前后護(hù)理人員的工作評(píng)分。結(jié)果 22例發(fā)生PICC置管術(shù)后導(dǎo)管感染者共檢出27株病原菌,革蘭陽(yáng)性菌13株占48.15%,革蘭陰性菌10株占37.04%,真菌4株占14.81%;觀察組干預(yù)后7d的感染率及總感染率分別為2.34%及3.13%,顯著低于對(duì)照組的8.59%及14.06%,差異有統(tǒng)計(jì)學(xué)意義(P0.05);干預(yù)后觀察組護(hù)理人員工作評(píng)分顯著高于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論品管圈護(hù)理對(duì)PICC置管術(shù)后導(dǎo)管感染率具有降低作用,值得推薦。
[Abstract]:Objective to study the effect of quality control ring on the reduction of catheter infection rate after central venous catheterization (PICC), so as to provide evidence for prevention of catheterization infection. Methods from June 2011 to June 2015, 256 patients with PICC catheterization were selected as the study objects, and 128 patients from June 2011 to June 2013 as the control group, who were given routine nursing intervention. 128 patients from July 2013 to June 2015 were taken as observation group and the nursing model of quality control circle was given. To analyze the distribution of pathogenic bacteria of catheterization after PICC catheterization, to compare the infection rate of catheterization after PICC catheterization in two groups, and to compare the work score of nursing staff before and after intervention. Results A total of 27 pathogenic bacteria were detected in 22 cases of catheter-infected patients after PICC catheterization. 13 Gram-positive bacteria accounted for 48.15, 10 Gram-negative bacteria accounted for 37.04 and 4 fungi accounted for 14.81. The infection rate and the total infection rate in the observation group were 2.34% and 3.13 days after intervention, which were significantly lower than those in the control group (8.59% and 14.06%, P0.05). After intervention, the working score of nursing staff in observation group was significantly higher than that in control group, the difference was statistically significant (P0.05). Conclusion quality control ring nursing can reduce the infection rate of catheter after PICC catheterization, which is worthy of recommendation.
【作者單位】： 天津市港口醫(yī)院呼吸內(nèi)科;臺(tái)州市中心醫(yī)院心胸外科;
【基金】：天津市科委自然基金資助項(xiàng)目(033606911)
【分類號(hào)】：R472

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