Comparative study on the effect of bundle care measures and routine care in preventing ICU-acquired infections
集束化护理措施与常规护理对预防ICU获得性感染的效果比较研究

摘要

目的 旨在探讨集束化护理措施与常规护理在预防重症ICU患者获得性感染中的效果比较。方法 本研究选取100例重症ICU患者，按随机数表法分为观察组与对照组，每组50人。对照组给予常规护理，观察组在常规护理基础上实施集束化护理措施。结果 观察组的导管相关不良事件发生率显著低于对照组，总发生率为12.00%，对照组为28.00%。干预后APACHE II评分观察组明显低于对照组。观察组患者的住院时间和导管留置时间均短于对照组，差异具有统计学意义（P＜0.05）。SF36量表显示观察组在心理功能和社会功能方面的评分均高于对照组，差异显著。护理满意度调查中，观察组满意度为92.00%，而对照组为80.00%。结论 集束化护理措施能够有效降低重症ICU患者获得性感染的发生率，缩短住院和留置时间，改善患者生理及心理恢复，提升护理满意度，值得在临床中推广应用。

Abstract

Objective This study aims to compare the effects of bundle care measures and routine care in preventing ICU-acquired infections in critically ill patients.
Methods A total of 100 critically ill ICU patients were selected and randomly divided into an observation group and a control group, with 50 patients in each group. The control group received routine care, while the observation group implemented bundle care measures in addition to routine care.
Results The incidence of catheter-related adverse events in the observation group was significantly lower than that in the control group, with a total incidence rate of 12.00%in the observation group and 28.00% in the control group. After intervention, the APACHE II score in the observation group was significantly lower than that in the control group. The hospital stay and catheter dwell time of patients in the observation group were shorter than those in the control group, with statistically significant differences(P<0.05).The SF36 scale showed that the scores of psychological and social functions in the observation group were higher than those in the control group, with significant differences. In the nursing satisfaction survey, the satisfaction rate of the observation group was 92.00%, while that of the control group was 80.00%.
Conclusion   Bundle care measures can effectively reduce the incidence of ICU-acquired infections in critically ill patients, shorten hospital stay and catheter dwell time, improve patients' physiological and psychological recovery, and enhance nursing satisfaction. They are worthy of promotion and application in clinical practice.