本文關鍵詞： 中心靜脈導管 導管相關血流感染 集束化干預策略 惡性血液病　出處：《川北醫(yī)學院學報》2017年02期 　論文類型：期刊論文

【摘要】：目的:探討中心靜脈導管集束化干預策略(central line bundle,CLB)對惡性血液病患者導管相關性血流感染(catheter related bloodstream infection,CRBSI)的影響效果。方法:參照美國健康促進會(Institution for Healthcare Improvement,IHI)中心靜脈導管相關血流感染預防的集束化干預策略,制定CRBSI集束化干預辦法,選擇2010年1月至2015年1月在本院留置中心靜脈導管行常規(guī)護理的252例惡性血液病患者作為對照組,隨機選取同期在我院留置中心靜脈導管行集束化干預策略的271例惡性血液病患者作為實驗組,對常規(guī)護理與集束化干預策略后的效果進行比較性分析。結果:對照組股靜脈GRBSI平均發(fā)生率最高,達26.1‰,集束化干預策略后股靜脈置管GRBSI平均發(fā)生率7.4‰,對照組股靜脈GRBSI平均發(fā)生率較實驗組比較差異有統(tǒng)計學意義(P0.01),對照組頸內(nèi)靜脈、鎖骨下靜脈置管GRBSI平均發(fā)生率較實驗組比較差異無統(tǒng)計學意義(P0.05);對照組與實驗組的CRBSI發(fā)生率分別為13.5‰、6.1‰,集束化干預策略后實驗組的CRBSI率(‰)、CRBSI起始時間、留置天數(shù)、住院時間和費用及手消毒劑消耗量與對照組比較差異均有統(tǒng)計學意義(P0.01);CRBSI以革蘭陽性菌為主,集束化干預策略后實驗組與對照組的病原菌構成比比較差異無統(tǒng)計學意義(P0.05)。結論:采用集束干預策略可有效降低惡性血液病患者中心靜脈導管相關性血流感染發(fā)生率,縮短患者住院時間,降低住院費用,減輕患者經(jīng)濟負擔,提高了惡性血液病患者的生存率和生活質(zhì)量。
[Abstract]:Objective: to investigate the effect of central line bundle intervention strategy on catheter-related related bloodstream infection in patients with malignant hematological diseases. Methods: referring to the for Healthcare improvement of the American Association for the Promotion of Health (AHA), the central venous catheters were used to treat the patients with malignant hematological diseases. Cluster intervention strategies for the prevention of related blood stream infections, To establish CRBSI cluster intervention, 252 patients with malignant hematological diseases were selected as control group, who were treated with central venous catheter in our hospital from January 2010 to January 2015. 271 patients with malignant hematopathy were randomly selected as experimental group. Results: the average incidence of femoral vein GRBSI was the highest in the control group (26.1 鈥，

本文編號：1519347