Observation on the effect of cluster nursing in preventing infection by placing venous catheterin blood purification center
集束化护理在血液净化中心静脉导管置管预防感染的作用观察

摘要

目的 探究血液净化应用集束化护理的作用。方法 选取时间：2021年3月到2022年4月，科室：血液净化中心，共选取患者60人，随机分成研究组、对照组，平均每组30人，比对护理效果。结果 研究组患者集束化护理干预后住院时长和导管留时间均缩短，治疗后出现感染的人数较少，仅为1例（占比3.33%）P值＜0.05；护理前组间患者生活质量差异小，护理后研究组分值明显升高，单项评分均高于对照组，P值＜0.05；研究组应用集束化护理后均出现2例不良事件，分别为非计划性拔管和导管堵塞，明显低于对照组的10例，P值＜0.05。结论 血液净化治疗过程中实施集束化护理可以有效减少中心静脉置管感染率，提高患者的治疗期生存质量。

Abstract

Objective To explore the effect of cluster nursing on blood purification.
Methods selection time: from March 2021 to April 2022, Department: blood purification center, a total of 60 patients were randomly divided into study group and control group, with an average of 30 people in each group, and the nursing effect was compared.
Results in the study group, the length of hospitalization and catheter retention time were shortened after cluster nursing intervention, and the number of patients with infection after treatment was less, only 1 case (accounting for 3.33%), P < 0.05; There was little difference in the quality of life between the groups before nursing, and the score of the study group increased significantly after nursing, and the single score was higher than that of the control group, P < 0.05; There were 2 adverse events in the study group after cluster nursing, including unplanned extubation and catheter blockage, which were significantly lower than those in the control group (10 cases, P < 0.05).
Conclusion   the implementation of cluster nursing in the process of blood purification treatment can effectively reduce the infection rate of central venous catheterization and improve the quality of life of patients during treatment.