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目的探讨加强护理培训对降低行经外周静脉穿刺中心静脉置管术(PICC)肿瘤患者相关性感染的临床意义。方法选取2014年5月至2015年5月广东省佛山市南海区第二人民医院收治的行PICC的108例肿瘤患者作为研究对象,按随机数字表法将其分为观察组和对照组,每组54例。对照组患者给予常规护理,护理人员护理前没有进行PICC护理培训;观察组患者由PICC规范化培训合格的护理人员进行护理。比较两组护理人员PICC相关理论知识掌握状况及患者相关性感染发生情况、置管时间、住院时间。结果观察组护理人员对血管选择原则、导管护理方法、置管后并发症护理方法、导管相关性感染概念及预防、处理知识、对患者健康教育内容等PICC相关知识的掌握情况评分均明显高于对照组,差异均有统计学意义(均P<0.05);观察组患者相关性感染发生率明显低于对照组,置管时间明显长于对照组,住院时间明显短于对照组,差异均有统计学意义(均P<0.05)。结论加强护理培训能有效提高护理人员对PICC相关知识的掌握情况,减少肿瘤患者PICC相关性感染发生率,延长置管时间,缩短住院时间,促使其早日出院,效果显著,在肿瘤患者化疗治疗中具有良好的应用价值。
Objective To investigate the clinical significance of intensive nursing training to reduce the related infection in patients with peripherally punctured central venous catheterization (PICC). Methods From October 2014 to May 2015, 108 patients with PICC who underwent PICC in Nanhai District People’s Hospital of Nanhai, Foshan City, Guangdong Province were selected as research objects. According to the random number table method, they were divided into observation group and control group. Group of 54 cases. Patients in the control group were given routine nursing care. There was no PICC nursing training before the nursing staff nursing care. Patients in the observation group were nurses treated by qualified PICC nursing staff. Compare the knowledge of PICC related theory and the incidence of patient-related infection in two groups of nurses, the time of catheterization and the length of hospital stay. Results The nurses in the observation group scored significantly on the principles of blood vessel selection, catheter nursing methods, post-catheter complications nursing methods, the concept of catheter-related infection and prevention, treatment knowledge, and PICC-related knowledge of patients’ health education contents Control group, the differences were statistically significant (all P <0.05); the incidence of infection in the observation group was significantly lower than the control group, catheterization was significantly longer than the control group, hospitalization was significantly shorter than the control group, the difference was statistically Significance (both P <0.05). CONCLUSION: Nursing training can effectively improve the nursing staff’s knowledge of PICC, reduce the incidence of PICC-related infection in cancer patients, prolong the time of catheterization and shorten the hospitalization time, and promote their discharge as soon as possible. The results are obvious in the chemotherapy of cancer patients Has good application value.