摘要
目的探讨肿瘤患者留置PICC导管相关血流性感染的影响因素,为优化护理措施及实施预防策略提供依据。方法 60例留置PICC导管的肿瘤患者,根据是否发生感染分为病例组9例、对照组51例,进行临床观察和细菌培养,对患者年龄、留置部位、留置时间、置管长度和化疗方法5个感染相关因素进行分析。结果 60例患者治疗结束后正常拔管,细菌培养阳性9例,感染率为15.0%,PICC置管化疗患者导管感染5种因素比较,差异均无统计学意义。结论 PICC专业小组规范化操作,能提高PICC置管的护理质量;针对性地健康教育,可以有效降低化学治疗等因素对于导管相关感染的影响。
OBJECTIVE To evaluate the risk factors of the PICC catheter-related blood stream infections in the tumor patient so as to provide the evidence for optimizing the nursing measures and implementing the prevention strategies. METHODS A total of 60 tumor patients with indwelling PICC were enrolled in the study and were divided into the case group with 9 cases and the control group with 51 cases according to the status of the infections, and the clinical observation and the bacterial culture were conducted. The five infection-related factors including the age, catheterization site, length of catheter ,and chemotherapy were analyzed. RESULTS Totally 60 cases were extubated correctly after the treatment, there were 9 cases of patients With the bacteria cultured positive,the incidence rate of infections was 15. 0%, and the difference in the five factors between the PICC chemotherapy patients was not statistically significant. CONCLUSION The standardized operation of the professional PICC team can improve the nursing quality Of PICC; the targeted health education can effectively reduce the effect of such factors as the chemotherapy on the incidence of catheter-related infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第6期1306-1307,共2页
Chinese Journal of Nosocomiology
