Influencing factors of PICC catheter-related bloodstream infection in patients with lung neoplasms and the establishment effect of risk management system
10.3760/cma.j.cn115682-20191210-04517
- VernacularTitle:肺癌患者PICC导管相关血流感染的影响因素及其风险管理体系建立效果分析
- Author:
Na HAN
1
;
Xianjing MENG
Author Information
1. 河北省唐山市人民医院肿瘤综合治疗科 063000
- Keywords:
Lung neoplasms;
PICC;
Bloodstream infection;
Risk management
- From:
Chinese Journal of Modern Nursing
2020;26(25):3440-3445
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the occurrence factors of catheter-related bloodstream infection (CRBSI) in patients with lung neoplasms undergoing peripherally inserted central catheter (PICC) and the establishment effect of risk management system.Methods:A total of 180 patients with lung neoplasms who underwent PICC catheterization in Tangshan People's Hospital of Hebei Province from June 2016 to December 2017 were selected as research objects by the convenient sampling method. The 115 patients enrolled from June to December 2016 were set as the control group (routine nursing intervention) , and the incidence of CRBSI in the control group was counted. The univariate and multivariate Logistic regression were used to analyze the influencing factors of CRBSI in patients with lung neoplasms after PICC indwelling. A total of 65 patients with lung neoplasms from January to December 2017 were included as the observation group. Based on the risk links that occurred in CRBSI and the results of Logistic multiple regression analysis, a systematic risk management system was established for the observation group to observe the prevention and control effects of the risk management system.Results:In the 115 patients with lung neoplasms in the control group, CRBSI occurred in 22 cases, with an incidence of 19.13% (22/115) . Puncture method, indwelling time, catheter displacement, catheter lumen, catheter material, periodic catheter maintenance, immune function and complications were the influencing factors of CRBSI in patients with lung neoplasms ( P<0.05) . After establishment of the risk management system, the incidence of CRBSI, catheter displacement, and complications in the observation group were lower than those in the control group, and the differences were statistically significant ( P<0.01) . Conclusions:Puncture method, catheter indwelling time, catheter displacement, catheter lumen, catheter material, periodic catheter maintenance and immune function are the influencing factors of the occurrence of CRBSI in PICC patients with lung neoplasms. And the nursing intervention established by the risk management system can reduce the incidence of CRBSI and complications in PICC patients with lung neoplasms.
