窑护理研究窑中国当代医药2019年8月第26卷第22期预防性护理在重症监护室中心静脉置管相关性感染患者中的应用效果彭慧萍江西省会昌县人民医院妇产科袁江西会昌342600[摘要]目的探讨预防性护理在重症监护室中心静脉置管相关性感染患者中的应用效果遥方法选取2017年1月~2018年8月我院收治的78例重症监护室中心静脉置管患者作为研究对象袁采用随机数字表法将其分为常规护理组与预防性护理组袁每组各39例遥常规护理组患者采用常规护理措施袁预防性护理组患者采用预防性护理措施遥比较两组患者的护理满意度和重症监护室中心静脉置管的时间尧置管过程患者的躁动评分曰比较两组患者护理前后的炎症指标渊白介素-6尧白介素-8冤尧心率水平和心理焦虑评分曰比较两组患者置管相关性感染的总发生率遥结果预防性护理组患者的护理满意度高于常规护理组袁差异有统计学意义渊P<0.05冤遥入院时袁两组患者的白介素-6尧白介素-8尧心率水平和心理焦虑评分比较袁差异无统计学意义渊P>0.05冤曰出院时袁预防性护理组患者的白介素-6尧白介素-8尧心率水平和心理焦虑评分低于常规护理组袁差异有统计学意义渊P<0.05冤遥预防性护理组患者的重症监护室中心静脉置管时间长于常规护理组袁置管过程中袁预防性护理组患者的躁动评分低于常规护理组袁差异有统计学意义渊P<0.05冤曰预防性护理组患者的置管相关性感染总发生率低于常规护理组袁差异有统计学意义渊P<0.05冤遥结论重症监护室中心静脉置管患者实施预防性护理措施的效果理想袁值得临床推广应用遥[关键词]重症监护室中心静脉置管相关性感染曰预防曰护理曰有效性[中图分类号]R457.2[文献标识码]A[文章编号]1674-4721渊2019冤8渊a冤-0188-04ApplicationeffectofpreventivenursinginpatientswithcentralvenouscatheterizationrelatedinfectioninintensivecareunitPENGHui-pingChinaDepartmentofObstetricsandGynecology,People忆sHospitalinHuichangCounty,JiangxiProvince,Huichang342600,[Abstract]ObjectiveToinvestigatetheeffectofpreventivenursinginpatientswithcentralvenouscatheterizationre鄄latedinfectioninintensivecareunit.MethodsAtotalof78patientswithcentralvenouscatheterizationinintensiveandpreventivenursinggroupbytherandomnumbertablemethod,with39patientsineachgroup.InregularnursingcareunitfromJanuary2017toAugust2018wereenrolledassubjects.Theyweredividedintoregularnursinggroupgroup,regularnursingmeasureswasused,whileinthepreventivenursinggroup,preventivenursingmeasureswere(interleukin-6,interleukin-8),heartrate,andpsychologicalanxietyscoreinthetwogroupsbeforeandafternursingadopted.Thenursingsatisfaction,thetimeofcentralvenouscatheterizationintheintensivecareunit,andtheagitationweredetected.Thetotalincidenceofcatheterizationrelatedinfectionswascomparedinthetwogroups.ResultsThethescoresofpsychologicalanxietybetweenthetwogroupsatadmission(P>0.05).Atdischarge,thelevelsofinter鄄scoreofthepatientsduringthecatheterizationinthetwogroupswerecompared.Thelevelsofinflammatoryindicatorsnursingsatisfactioninthepreventivenursinggroupwashigherthanthatintheregularnursinggroupwithasignificantdifference(P<0.05).Therewerenosignificantdifferencesinthelevelsofinterleukin-6,interleukin-8,heartrateandleukin-6,interleukin-8,heartrate,andpsychologicalanxietyscoreinthepreventivenursinggroupwerelowerthanthoseoftheregularnursinggroupwithstatisticalsignificance(P<0.05).Thetimeofcentralvenouscatheterizationintheintensivecareunitwaslongerthanthatintheregularnursinggroup,andtheagitationscoreofthepatientsinthenursinggroup,thedifferencewasstatisticallysignificant(P<0.05).ConclusionTheimplementationofpreventivenurs鄄popularizationandapplication.[Keywords]Centralvenouscatheterizationrelatedinfectioninintensivecareunit;Prevention;Nursing;Effectiveness[基金项目]江西省赣州市指导性科技计划项目渊赣市科结字[2017]04-19号冤188CHINAMODERNMEDICINEVol.26No.22August2019catheterizationprocesswaslowerthanthatintheregularnursinggroupwithstatisticaldifference(P<0.05).Thetotalingmeasuresinpatientswithcentralvenouscatheterizationinintensivecareunitisideal,whichisworthyofclinicalincidenceofthecatheterizationrelatedinfectioninthepreventivenursinggroupwaslowerthanthatintheregular
预防性护理在重症监护室中心静脉置管相关性感染患者中的应用效果 - 论文
