刘珊+邹平++潘毅+夏苗

[摘要]目的 探讨集束化干预措施在预防ICU多重耐药菌感染中的应用价值。方法 前瞻性选取2015年5月～2016年4月入住我院ICU的100例患者为研究对象，依照集束化干预模式实施节点分两组，各50例。对照组采取常规护理措施，观察组采取集束化干预护理措施。比较两组患者多重耐药菌感染率、并发症的发生率、住院时间等情况。结果 观察组患者感染发生率明显低于对照组，差异有统计学意义（P<0.01）。观察组平均住院时间短于对照组，差异有统计学意义（P<0.05）。观察组并发症发生率明显低于对照组，差异有统计学意义（P<0.05）。结论 对ICU患者应用集束化干预护理措施能够有效预防多重耐药菌感染，并降低并发症发生率，临床效果显著。

[关键词]集束化干预；多重耐药菌；重症监护室；感染

[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721（2016）10（a）-0185-03

[Abstract]Objective To explore the application value of cluster intervention measures in preventing ICU multi drug resistant bacteria infection.Methods 100 patients from May 2015 to April 2016 of ICU in our hospital were prospective selected.Patients were divided into two groups according to cluster intervention mode，and each group was 50 cases.Patients in control group were used routine nursing method，and patients in observation group were used cluster intervention measures.The rate of multi drug resistant bacteria infection，incidence rate of complications and hospital stay in two groups were compared.Results The incidence rate of infection in observation group was obvious lower than that of control group，and the difference was statistical significance （P<0.01）；the mean hospital stay in observation group was lower than that of control group，and the difference was statistically significant （P<0.05）.The incidence rate of complications in observation group was obvious lower than that of control group，and the difference was statistically significant （P<0.05）.Conclusion Using cluster intervention measures for ICU patients can prevent multi drug resistant bacteria infection effectively，decrease the incidence rate of complications and with obvious clinical effects.

[Key words]Cluster intervention measures；Multi drug resistant bacteria；ICU；Infection

近年来重症监护病房（ICU）多重耐药菌感染患者人数呈现不断上升趋势[1]。多重耐药菌感染患者病情极不稳定，复杂多变，随时都可能有生命危险，具临床资料显示多重耐药菌感染患者的病死率高达80%[2]，因此加大对多重耐药菌感染的研究力度，探究预防ICU多重耐药菌感染的有效方法、提高ICU患者的治疗效果成为各医院的共同目标。集束化干预是一种综合护理干预措施，能够有效提高患者的治疗效果，降低感染发生率[3]，但是对于集束化干预措施在ICU患者中的应用效果报道还很少。本文以我院收治的ICU患者为研究对象，探讨集束化干预措施在预防ICU多重耐药菌感染中的应用价值。

1资料与方法

1.1一般资料

前瞻性选取2015年5月～2016年4月在我院ICU病房接受治疗的100例患者为研究对象，依照集束化干预模式实施节点分两组，各50例。观察组男28例，女22例；平均年龄（57.34±3.85）岁；其中23例患者使用呼吸机，27例患者中心静脉插管；……