[1]申玉洁,李禄全,张先红,等.多学科联合质量改进项目在早产儿中心静脉导管相关性血流感染中的促进作用[J].军事护理,2022,39(04):85-88.[doi:10.3969/j.issn.1008-9993.2022.04.023]
　SHEN Yujie,LI Luquan,ZHANG Xianhong,et al.Effect of Multidisciplinary Quality Improvement Program on Central Line-associated Blood Stream Infection in Preterm Infants[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(04):85-88.[doi:10.3969/j.issn.1008-9993.2022.04.023]
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多学科联合质量改进项目在早产儿中心静脉导管相关性血流感染中的促进作用
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年04期
页码:
85-88
栏目:
护理管理
出版日期:
2022-04-15

文章信息/Info

Title:
Effect of Multidisciplinary Quality Improvement Program on Central Line-associated Blood Stream Infection in Preterm Infants
文章编号:
1008-9993(2022)04-0085-04
作者:
申玉洁1; 李禄全1; 张先红1; 范娟1; 李潇然1; 匡安迪1; 付利珍1; 吴利平2
(1.重庆医科大学附属儿童医院 新生儿科,重庆400014; 2.重庆医科大学附属儿童医院 护理部)
Author(s):
SHEN Yujie1; LI Luquan1; ZHANG Xianhong1; FAN Juan1; LI Xiaoran1; KUANG Andi1; FU Lizhen1; WU Liping2
(1.Neonatal Diagnosis and Treatment Center,Children's Hospital of Chongqing Medical University,Chongqing 400014,China; 2.Department of Nursing,Children's Hospital of Chongqing Medical University)
关键词:
中心静脉导管;  导管相关性血流感染;  多学科协作;  早产儿;  质量改进
Keywords:
central venous catheter;  central line-associated blood stream infection;  multidisciplinary collaboration;  preterm infants;  quality improvement
分类号:
R47
DOI:
10.3969/j.issn.1008-9993.2022.04.023
文献标志码:
A
摘要:
目的 探讨基于多学科联合的质量改进项目对孕周小于34周早产儿中心静脉导管相关血流感染(central line-associated blood stream infection,CLABSI)的效果。方法 便利抽样法选取重庆市某三级甲等儿童专科医院NICU收治的142例行PICC置管的早产儿为研究对象。根据入院时间,将2019年7-12月入院的73例患儿设为对照组,采用常规的感染控制; 将2020年1-6月入院的69例患儿设为干预组,实施中心静脉导管感染管理质量改进项目。比较两组患儿CLABSI发生率、中心静脉导管留置时间、导管并发症、抗生素使用时间、住院时间等指标。结果 干预组CLABSI发生率(4.0‰)明显低于对照组的(8.12/‰); 干预组中心静脉导管留置时间[(21.74±9.45)d]明显短于对照组[(25.30±11.46)d],差异均有统计学意义(均P<0.05)。两组患儿在导管并发症、抗生素使用时间、住院时间、住院结局等方面比较差异均无统计学意义(均P>0.05)。结论 实施基于多学科联合的质量改进项目可降低新生儿PICC置管CLABSI千日发生率,提高中心静脉置管的护理质量。
Abstract:
Objective To investigate the effect of a multidisciplinary quality improvement program on central line-associated blood stream infection(CLABSI)in preterm infants with gestational weeks less than 34 weeks.Methods Convenience sampling method was used to select 142 preterm infants treated with PICC catheterization in neonatal intensive care unit(NICU)of a tertiary A children's hospital in Chongqing as the research objects.According to the admission time,73 patients who were admitted form July to December 2019 were put into the control group and given routine infection control.69 patients who were admitted form January to June 2020 were put into the intervention group and given the treatment according to the new quality control program.The incidence of CLABSI,indwelling time of central venous catheter,catheter complications,duration of antibiotic use and length of hospital stay were compared between the two groups.Results The incidence of CLABSI in the intervention group was 4.00‰,which was significantly lower than that in the control group(8.12‰).The indwelling time of central venous catheter in the control group was(21.74±9.45)days,which was shorter than that in the intervention group(25.30±11.46)d(all P<0.05)days.And the differences were of statistical significance.Conclusions The implementation of the quality improvement project based on multidisciplinary cooperation can significantly reduce the incidence of neonatal PICC-CLABSI,and improve the nursing quality of central venous catheterization.

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-08-07 【 修回日期 】 2022-02-24
【 基金项目 】 重庆市科委科研基金(cstc2018jscx-msyb-X0027)
【 作者简介 】 申玉洁,硕士在读,主管护师,从事新生儿重症监护及护理管理工作
【 通信作者 】 吴利平,电话:023-63632167
更新日期/Last Update: 2022-04-15