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目的:探讨循证护理在预防急诊重症监护室病人导管相关血流感染(CRBSI)中的临床应用效果。方法:采用回顾性分析法,按四川省遂宁市中心医院实施循证护理时间前后,将重症加强护理病房(ICU)行中心静脉置管的194例病人纳入非循证组(施行常规护理)与循证组(施行循证护理),每组97例,比较两组患者CRBSI发生率等方面的差异。结果:循证组CRBSI发生率为3.1%,明显低于非循证组的16.5%,且差异具有统计学意义(χ2=9.86,P=0.043)。此外,进行循证护理医护人员无菌操作总合格率为82.49%,而非循证组仅为65.92%,差异具有统计学意义(χ2=8.492,P=0.038)。结论:循证护理可显著提高医护人员无菌操作的依从性,并有助于降低ICU病房患者CRBSI的发生几率。
Objective: To investigate the clinical application of evidence-based nursing in the prevention of catheter-related bloodstream infections (CRBSI) in emergency intensive care unit. Methods: According to the retrospective analysis, 194 patients with intensive care unit (ICU) undergoing central venous catheterization were enrolled in the non-evidence-based group (general nursing) and Evidence-based group (the implementation of evidence-based care), 97 cases in each group, comparing the two groups of patients the incidence of CRBSI differences. Results: The incidence of CRBSI in evidence-based group was 3.1%, which was significantly lower than 16.5% in non-evidence-based group (χ2 = 9.86, P = 0.043). In addition, the total pass rate of aseptic nursing for evidence-based nursing care workers was 82.49%, while that of non-evidence-based patients was only 65.92%. The difference was statistically significant (χ2 = 8.492, P = 0.038). CONCLUSION: Evidence-based care can significantly improve the compliance of aseptic practices among healthcare workers and help reduce the incidence of CRBSI in ICU wards.