摘要
目的:探讨集束化护理对减少ICU患者导管相关性血流感染的效果。方法:检索国内外主要的医学数据库,搜集ICU患者护理相关文章,按照标准进行文献筛选,提取数据,采用非随机对照试验的方法学评价指标对文献进行质量评价,采用Stata1 2. 0进行meta分析。结果:累计纳入16篇ICU中心静脉置管的集束化护理研究,试验组累计2 677例,对照组2 222例,其中试验组发生CR-BSI患者数为73,感染率2. 73%;对照组发生CR-BSI患者数为179,感染率为8. 06%。相对于传统护理组,集束化护理组发生CR-BSI的风险为0. 35(95CI:0. 27～0. 45,P <0. 001)。结论:集束化护理对预防中心静脉导管血流感染,减少其所致的死亡具有重要意义。
Objective To explore the effect of bundled nursing on the prevention of catheter-related blood stream infection( CR-BSI) in ICU patients. Methods The studies on catheter-related blood stream infection in ICU were searched in both Chinese and English medical database and screened by established criteria. The data were extracted and analyzed by Stata 12. 0 software. The Methodological Index for Non-randomized Studies was used to assess the quality of the included studies. Results Sixteen studies were included,with a total of 2677 cases in study groups and 2 222 cases in control groups. There were 73 cases( 2. 73%) and 179( 8. 06%) of CR-BSI in study groups and control groups,respectively. Compared with control groups,the relative risk of developing catheter-related blood stream infection in study groups was 0. 35( 95 CI: 0. 27 ~ 0. 45,P < 0. 001). Conclusions Bundled nursing could reduce the incidence of catheter-related blood stream infection and then decrease the mortality of patients in ICU,which could be recommended in ICU nursing.
作者
陈燕枫
邵亚娣
林松茂
CHEN Yan-feng;SHAO Ya-di;LIN Song-mao(ICU,Longsai Hospital;ICU,Ningbo First Hospital;ICU,Ningbo Beilun People's Hospital,Ningbo,Zhejiang 315200,China)
出处
《中国农村卫生事业管理》
2018年第12期1607-1611,共5页
Chinese Rural Health Service Administration
