论文部分内容阅读
目的探讨综合性护理对中心静脉导管相关并发症的干预作用。方法选取2013年6月—2015年6月在我院留置中心静脉导管患者256例为研究对象,采用对照研究,将2013年7月—2014年6月的126例作为对照组,2014年7月—2015年6月的130例为干预组。干预组患者实施综合性护理,对照组给予常规护理,对二组患者导管留置期间的并发症和健康教育的效果进行比较,并评价患者对护理工作的满意度。结果干预组导管破损率为6.9%、导管阻塞率为8.4%、导管移位脱出率为0.8%、导管相关性感染率为9.2%、导管相关性血栓形成率为3.8%、静脉炎率为6.9%均明显低于对照组,差异有统计学意义(P<0.05);干预组对导管相关知识和维护技能的掌握程度及对护理的依从性显著高于对照组,差异有统计学意义(P<0.05);干预组和对照组对护理工作的满意度分别为94.6%和80.2%,两者比较差异有统计学意义(P<0.05)。结论通过综合护理干预可以降低导管相关并发症的发生率,提高患者对导管知识和维护技能的掌握程度及对护理的依从性和满意度。
Objective To investigate the intervention effect of comprehensive nursing on central venous catheter-related complications. Methods A total of 256 patients with central venous catheters in our hospital from June 2013 to June 2015 were selected as the study subjects. A controlled study was conducted in which 126 patients from July 2013 to June 2014 were selected as the control group and July 2014 - In June 2015, 130 cases were intervention group. Patients in the intervention group were given general nursing care while those in the control group were given routine nursing care. Comparisons of complications and health education during catheter stay in the two groups were made and the patients’ satisfaction with nursing was evaluated. Results In the intervention group, the catheter breakage rate was 6.9%, the catheter obstruction rate was 8.4%, the catheter displacement rate was 0.8%, the catheter-related infection rate was 9.2%, the catheter-related thrombosis rate was 3.8% and the phlebitis rate was 6.9 % Were significantly lower than the control group, the difference was statistically significant (P <0.05); intervention group on the catheter-related knowledge and maintenance skills mastery degree and care compliance was significantly higher than the control group, the difference was statistically significant (P <0.05). The satisfaction degree of nursing intervention in the intervention group and the control group was 94.6% and 80.2% respectively, the difference was statistically significant (P <0.05). Conclusion Comprehensive nursing intervention can reduce the incidence of catheter-related complications and improve the patient’s mastery of catheter knowledge and maintenance skills, and the compliance and satisfaction with nursing.