Analysis of the role of cluster-nursing on the nursing quality and infection prevention of patients inserted with central venous catheter in ICU

Abstract

Objective To analyze the role of cluster-nursing on the nursing quality and infection prevention of patients inserted with central venous catheter in ICU. Methods A total of 180 cases of ICU patients inserted with central venous catheter in our hospital from January 2013 to December 2015 were selected as the research objects and were randomly divided into observation group and control group, 90 cases in each group.The observation group was treated with cluster nursing, while the control group received routine care measures.The quality of nursing and prevention of infection of patients of the two groups were compared. Results The puncture-site infection, catheter-related bloodstream infection of the observation group were lower than that of the control group, and the differences were statistically significant(P<0.05). The incidence of catheter prolapse, plugging, thrombosis and unplanned extubation of the observation group were lower than that of the control group, and the differences were statistically significant(P<0.05). Time of indwelling of catheters and the length of hospital stay of the observation group days were shorter than that of the control group, and the differences were statistically significant(P<0.05). The satisfaction for nursing of the observation group was significantly higher than that of the control group, and the difference was statistically significant(P<0.05). After treatment, the scores of quality of life of the observation group were significantly higher than that of the control group, and the difference between the two groups was statistically significant(P<0.05). Conclusions Cluster nursing can reduce and prevent the infection rate of ICU patients inserted with venous catheter and the incidence rate of other complications, meanwhile it can reduce the unplanned extubation of catheter and shorten the indwelling time and length of hospital stay, moreover it can improve the satisfaction for nursing and quality of life of patients, which is recommended for the clinical promotion and use. Key words: Cluster nursing; Central venous catheter; Quality of care; Infection