论文部分内容阅读
目的:观察集束化护理干预在经外周静脉置入中心静脉导(PICC)门诊维护中的的应用效果。方法:采用非同期对照实验选取2014年01月—2014年09月门诊维护的患者144例次作为对照组;选取2014年10月—2015年06月门诊维护的患者162例次作为干预组,观察比较两组患者PICC置管期间异位、移位、粘膜损伤、静脉炎、导管脱出、导管堵塞等并发症发生情况。结果:干预组患者PICC置管相关并发症的发生率均低于对照组(P<0.05),护理满意度也明显高于对照组(P<0.05)。结论:集束化护理干预应用于肿瘤患者PICC门诊维护,不仅可以优化PICC导管维护流程,降低置管期间并发症的发生,延长导管留置时间,同时,也提高了护理满意度。
Objective: To observe the effect of cluster nursing intervention in the maintenance of PICCs by peripheral venous catheterization. Methods: The non-synchronous control experiment was performed to select 144 outpatients for outpatient maintenance from January 2014 to September 2014 as the control group; 162 patients for outpatient maintenance from October 2014 to June 2015 were selected as the intervention group, and observed and compared PICC during the two groups of patients during ectopic, shift, mucosal injury, phlebitis, catheter prolapse, catheter occlusion and other complications. Results: The incidences of PICC catheter-related complications in intervention group were significantly lower than those in control group (P <0.05), and the nursing satisfaction was also significantly higher than that in control group (P <0.05). Conclusion: The intensive nursing intervention in the PICC outpatient maintenance of cancer patients not only optimizes the PICC catheter maintenance procedure, reduces the complications during catheterization, prolongs the catheter indwelling time, but also improves the nursing satisfaction.