集束化护理在连续性血液净化治疗患者中应用效果.docVIP

集束化护理在连续性血液净化治疗患者中应用效果 　　[摘要]目的 探讨集束化护理在连续性血液净化治疗患者中的应用效果。方法 选取2015年1月～2016年6月我院88例需行连续性血液净化治疗的患者作为本次研究对象，采用随机数字表法分为观察组和对照组，每组各44例患者，其中对照?M患者予以常规护理方案，观察组患者予以集束化护理方案，比较两组患者CRBSI情况、置管时间、住院时间、CRBSI发生时间、CRBSI持续时间及护理满意度。结果 观察组患者的CRBSI率为6.8%，明显低于对照组患者的22.7%，差异有统计学意义（P0.05）；观察组患者的置管时间、住院时间及CRBSI持续时间分别为（22.9±7.1）、（30.8±8.6）、（10.4±5.5）d，均明显短于对照组患者的（30.5±9.6）、（42.4±10.3）、（11.4±4.7）d，差异有统计学意义（P0.05）；观察组患者CRBSI发生时间为（16.0±5.3）d，明显长于对照组患者的（11.4±4.7）d，差异有统计学意义（P0.05）；观察组患者对护理的满意度为86.4%，显著高于对照组患者的65.9%，差异有统计学意义（P0.05）。结论 连续性血液净化导管相关性血流感染患者采用集束化护理方案具有良好的效果，明显降低CRBSI发生率，且可缩短治疗时间，大大提高患者的满意度，值得临床推广。 　　[关键词]连续性血液净化；导管相关性血流感染；集束化护理；感染率；满意度 　　[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721（2017）06（c）-0181-03 　　[Abstract]Objective To explore the Application effect of cluster nursing care on patients with continuous blood purification.Methods 88 patients received continuous blood purification treatment in our hospital from January 2015 to June 2016 were selected as the observation objects and were divided into the observation group （n=44）and the control group（n=44） according to the random number table.The patients in the control group were given routine nursing，and patients in the observation group were given cluster nursing intervention.After the treatment，the CRBSI occurrence，catheter time，hospital stay，CRBSI duration，the CRBSI time andnursing satisfaction were compared between two groups.Results The CRBSI rate of the observation group was 6.8%，significantly lower than 22.7% in the control group，and the difference was statistically significant （P0.05）；The catheter time，hospital stay and CRBSI duration of the observation group were respectively （22.9±7.1），（30.8 ±8.6），（10.4±5.5） d，which were significantly shorter than （30.5±9.6），（42.4±10.3），（11.4±4.7） d of the control group，and the differences were statistically significant （P0.05）；CRBSI time of the observation group was （16.0±5.3） d，which was significantly longer than （11.4±4.7）d of the control group，and the difference was statistically sig