Analysis on Emotional Control and Life Quality of Patients with Continuous Blood Purification and Catheter-Related Bloodstream Infection by Cluster Nursing Model combined with Psychological Intervention

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Fan Sun, Xuan Cao, Tingwen Ke, Qian Ding, Jingjing Wang

Abstract

To study the effect of cluster nursing model combined with psychological intervention on emotional control and life qualityof patients with continuous blood purification (CBP) and catheter-related bloodstream infection (CRBSI). 126 patients with CBP catheterization treated in our hospital (November 2018-November 2019) were chosen as the study subjects, and randomly split into group A and group B, 63 cases in each group.Group Badopted routine nursing whilegroup Areceived cluster nursing model with psychological intervention to compare the emotional control level and life quality between the two groups. No obvious differences in sex ratio, age, BMI, smoking history, drinking history, marital status, disease types, catheter indwelling time and catheter positionwere found between the two groups(P>0.05). After nursing intervention, MPV and CD62-P in group A were obviously lower while PLT valuewas obviously higher compared withgroup B (P<0.001). CRBSI occurred later in group Acompared withgroup B after intervention(P<0.001), and CRBSI duration was shorter compared withgroup B (P<0.001). The CECS scoresin both groupsafter intervention were obviously higher, and CECS score in group A after nursing intervention was obviously higher compared withgroup B(P<0.001). SF-36 scoresin both groups after nursing intervention were obviously higher, and SF-36 score in group A after intervention was higher compared withgroup B (P<0.001). The total nursing satisfaction in group A was obviously higher compared withgroup B (P<0.05).Cluster nursing model combined with psychological intervention can enhance emotional control level of patients with CBP catheterization, shorten the CRBSIduration, improve the life quality and nursing satisfaction, with obvious effect, deserving reference and promotion.

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