Application of cluster care in the catheter-related bloodstream infections

Abstract

Objective To explore the application value of cluster nursing care in preventing central venous catheter-related bloodstream infections. Methods 200 patients with indwelling central venous catheter in ICU were selected as the research subjects.They were randomly divided into study group and control group by digital table, 100 cases in each group.The patients in the control group received routine nursing.The patients in the study group was given cluster based nursing.The catheter site, catheterization time, infection rate were compared between two groups. Results In the study group, the rates of internal jugular vein set pipe and lock venous catheter and femoral vein set tube were 82.00%(82/100), 14.00%(14/100), 4.00%(4/100), which in the control group were 79.00% (79/100), 15.00%(15/100), 6.00%(6/100), there were no statistically significant differences(P>0.05). The set tube time of the study group was (10.36±4.67)d, which of the control group was (11.28±4.58)d, the difference was not statistically significant(χ2=1.406, P>0.05). The catheter-related bloodstream infection rate of the study group was 1.00%(1/100), which was significantly lower than 9.00%(9/100) of the control group (χ2=6.736, P=0.009). Conclusion Compared with conventional nursing mode, cluster of nursing in patients with indwelling central venous catheter can significantly reduce the incidence of central venous catheter related blood stream infections, it is an effective nursing intervention mode. Key words: Catheter insertion, central vein; Bloodstream infection, catheter; Nursing