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目的探讨集束化护理在预防血液透析导管相关血流感染(CRBSI)中的应用效果。方法选取2014年3月~2015年2月未开展集束化护理的住院留置透析导管患者236例作为研究对象为对照组,进行回顾性分析,了解CRBSI的发生率。将2015年3月~2016年2月开展集束化护理的留置血液透析导管的患者281例为观察组,运用集束化护理进行护理干预,比较两组CRBSI的发生率。结果对照组、观察组CRBSI发生率分别为3.70%、1.63%,差异有统计学意义(P<0.05)。结论采用集束化护理干预对留置透析导管的患者进行护理,能有效降低CRBSI的发生率,延长深静脉导管留置时间,保障患者的安全。
Objective To explore the application of cluster nursing in the prevention of hemodialysis catheter-related bloodstream infections (CRBSI). Methods A total of 236 patients with hospitalized dialysis catheters who did not receive intensive care from March 2014 to February 2015 were selected as the control group and analyzed retrospectively to understand the incidence of CRBSI. A total of 281 patients undergoing intensive care hemodialysis catheters from March 2015 to February 2016 were selected as the observation group and received intensive care nursing intervention. The incidence of CRBSI was compared between the two groups. Results The incidences of CRBSI in control group and observation group were 3.70% and 1.63% respectively, the difference was statistically significant (P <0.05). Conclusion The cluster nursing intervention for patients with indwelling dialysis catheters can effectively reduce the incidence of CRBSI and extend the catheterization time of deep venous catheters to ensure the safety of patients.