中国护理管理2024,Vol.24Issue(8) :1130-1135.DOI:10.3969/j.issn.1672-1756.2024.08.003

基于改进科学降低儿童PICC导管相关性血流感染的循证护理实践

Evidence-based nursing practice of reducing the incidence of PICC Catheter Related Bloodstream Infection in pediatric patients based on improvement science

丁亚光 王春立 迟巍 王晓晖 王莹莹 王莉 武莹 陈芳娇 段颖杰 李慧君
中国护理管理2024,Vol.24Issue(8) :1130-1135.DOI:10.3969/j.issn.1672-1756.2024.08.003

基于改进科学降低儿童PICC导管相关性血流感染的循证护理实践

Evidence-based nursing practice of reducing the incidence of PICC Catheter Related Bloodstream Infection in pediatric patients based on improvement science

丁亚光 1王春立 1迟巍 1王晓晖 2王莹莹 2王莉 1武莹 1陈芳娇 1段颖杰 1李慧君1
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作者信息

  • 1. 国家儿童医学中心首都医科大学附属北京儿童医院护理部,100045 北京市
  • 2. 国家儿童医学中心首都医科大学附属北京儿童医院院感办公室,100045 北京市
  • 折叠

摘要

目的:探索基于改进科学的循证护理实践在降低PICC导管相关性血流感染发生率的方面的效果,以提升临床护理质量.方法:采取前后对照研究设计,采用便利抽样法,选取 2021年1月至 2022 年12月北京市某三级甲等儿童医院病房有PICC置管的患儿以及病房护士为研究对象.对照组于2021年1月—12月,采用常规PICC导管感染防控措施,实验组于2022 年1月—12月,采用改进科学中改进策略中的六西格玛方法,比较两组患儿导管相关性血流感染发生率以及护士对导管相关知识掌握情况.结果:实验组患儿PICC导管相关性血流感染发生率为 0.9%,低于对照组患儿的 2.4%,实验组每千导管日感染发生率为 0.4‰,低于对照组患儿的1.0‰;实验组护士对于PICC导管相关性血流感染防控知识问卷各维度得分均高于对照组得分(P<0.05).结论:基于改进科学的循证护理实践可有效降低PICC留置期间导管相关性血流感染发生率,提升护士对于导管感染防控知识掌握水平,提升临床护理的工作质量.

Abstract

Objective:To explore the effects of application of improvement science in reducing the incidence of PICC Catheter Related Bloodstream Infection(CRBSI)based on evidence-based medicine.Methods:In this study,a convenience sampling method was adopted to select children with PICC in the wards of a tertiary grade A children's hospital and nurses in the ward from January 2020 to December 2022.The control group adopted conventional PICC infection prevention and control measures,while the experimental group adopted the six sigma in the improved science strategy.The incidence of CRBSI and the nurses'knowledge in the two groups was analysed.Results:The incidence of PICC CRBSI of the experimental group was significantly lower than that of the control group(0.9%VS.2.4%).The incidence of infection per thousand PICC of the experimental group was significantly lower than that of the control group(0.41‰ VS.1.0‰).The nurses'knowledge of infection prevention and infection control of PICC was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Evidence-based nursing practice based on improvement science can effectively reduce the incidence of PICC CRBSI,improve nurses'knowledge of catheter infection prevention and control,and improve the quality of clinical nursing work.

关键词

改进科学/经外周静脉置入中心静脉导管/导管相关性血流感染/循证护理实践

Key words

improvement science/Peripherally Inserted Central Catheter/Catheter Related Bloodstream Infection/evidence-based nursing practice

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基金项目

中华护理学会2022年度立项科研课题(ZHKY202202)

出版年

2024
中国护理管理
卫生部医院管理研究所

中国护理管理

CSTPCD北大核心
影响因子:2.545
ISSN:1672-1756
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