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| Application value of intensive care based on evidence based concept in prevention of catheter related infection |
| DING Yun1 CHEN Yan2 WANG Lianying3 |
1.Bidding Office, the First People′s Hospital in Kashi, Xinjiang Uygur Autonomous Region, Kashi 844000, China;
2.Department of Hospital-Acquired Infection Control, the First People′s Hospital of Kashi, Xinjiang Uygur Autonomous Region, Kashi 844000, China;
3.Institute Office, Xinjiang Kashi Uygur Medical Hospital, Xinjiang Uygur Autonomous Region, Kashi 844000, China |
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Abstract Objective To explore the application value of evidence based intensive care in the prevention of catheter related infection. Methods Sixty-two ICU patients who admitted to the First People′s Hospital of Kashgar, Xinjiang Uygur Autonomous Region (hereinafter referred to as “our hospital”) from July 2017 to June 2018 were selected as the observation group, intensive care based on evidence based concept was used for intervention. Sixty-two ICU patients who admitted to our hospital from February 2015 to January 2016 were selected as the control group, and routine nursing was adopted. Both groups were nursed by the same group, and catheter indwelling time and ICU stay time were recorded in both groups. The incidence of urinary catheter related urinary tract infection (CAUTI), central venous catheter-related bloodstream infection (CLABSI), and ventilator-related pneumonia (VAP) was compared between the two groups. The measures of catheter infection prevention were used to evaluate the sensitivity and core competence of the intervention personnel respectively. Results The duration of indwelling catheter and ICU stay in the observation group was significantly shorter than that in the control group (P ＜ 0.05). The incidence of CAUTI, CLABSI and VAP in the observation group was significantly lower than that in the control group (P ＜ 0.05). The scores of attitude, behavior, indication of catheter indwelling, infection prevention strategy and total scores in the observation group were significantly higher than those in the control group (P ＜ 0.01). The scores of emergency ability, health education ability, communication ability and total scores in the observation group were significantly higher than those in the control group (P ＜ 0.05). Conclusion Compared with the routine nursing, the intensive care based on the evidence based concept can shorten the time of indwelling catheter and ICU stay, and improve the sense control ability and nursing ability of the intervention personnel.
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