【摘要】 目的探讨预防外周穿刺中心静脉导管(PICC)感染的护理方法,为提高患者生存质量提供依据。方法随机抽取大连医科大学附属第二医院2013年1~11月收治的100例PICC置管患者为研究对象,将100例患者分为两组,对照组患者(n=50)使用常规护理措施,试验组患者(n=50)采取强化型护理措施,对两组患者的PICC相关性感染情况进行比较。结果对照组发生感染3例,发生率为6%;试验组发生感染1例,发生率为2%,对照组患者PICC相关性感染发生率高于试验组,经比较差异有统计学意义,P<0.05。2012年与2013年感染菌种没有太大的变化,鲍曼不动杆菌的感染率有所下降,其他菌种没有明显减弱的趋势。结论强化型护理措施可以有效的降低PICC患者相关性感染的发生率,预防控制感染的发生,对提高患者的生存质量有较好的促进作用。更多还原

【Abstract】 Objective To discuss the care methods for prevention of peripherally inserted central venous catheter( PICC)-related infections,and provide basis for improving the quality of life of patients. Methods 100 PICC patients admitted in our hospital during January to November,2013 were selected randomly and divided into two groups. The control group( n = 50) accepted routine care,while the experimental group were given enhanced care.The two groups were compared in terms of the PICC related infections. Results There were 3 cases( 6%) of infection in the control group and 1( 2%) in the experimental group;,the difference was statistically significant( P < 0. 05). No change was found in the bacteria species during 2012 and 2013; the rate of Acinetobacterbaumannii infection declined,but the other species showed no significant weakening trend. Conclusion Enhanced care measures can effectively reduce the incidence of PICC-related infections,prevent the infection from occurence,and help to improve the quality of life of patients.更多还原