Application of cluster nursing intervention in prevention of central venous catheter-related infection in emergency department
10.7619/jcmp.201804023
- VernacularTitle:集束化护理在预防急诊科中心静脉导管感染中的应用
- Author:
Mengli ZHU
1
;
Weifang ZHU
Author Information
1. 湖北省武汉市第一医院急诊医学科
- Keywords:
cluster nursing intervention;
emergency department;
central venous catheter infection;
CRBSI;
negative emotions
- From:
Journal of Clinical Medicine in Practice
2018;22(4):79-82
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the application of cluster nursing intervention in the prevention of central venous catheter-related infection in emergency department and its effect on reducing the incidence of catheter-related bloodstream infection (CRBSI).Methods A total of 140 emergency department patients receiving PICC in our hospital were selected as the research subjects.All the patients were divided into control group and study group according to random number table method,with 70 cases in each group.The patients in the control group were given routine nursing intervention,and the patients in the study group were given cluster nursing interventions based on routine care.The negative emotions before and after nursing care,CRBSI infection rate and infection time were observed and compared between two groups.Results There was no significant difference in negative emotions between the two groups before the implementation of nursing care (P ＞ 0.05).After nursing,SAS and SDS scores of the two groups were lower than nursing before,and the study group was lower than the control group (P ＜ 0.05).The control group had 8 (11.4％) patients infected with CRBSI,while the study group had 1 (1.4％).The infection rate of CRBSI in the study group was lower than that in the control group (P ＜0.05).The study group had longer catheter indwelling time and shorter ICU stay(P ＜ 0.05).Conclusion Cluster nursing intervention can effectively reduce negative emotions such as anxiety,depression,reduce central venous catheter infection,reduce the incidence of CRBSI,so it is worthy of application and promotion.
