首页|基于奥马哈系统的延续性护理结合预处理策略对PICC携管患者居家自护能力及不良事件的影响

基于奥马哈系统的延续性护理结合预处理策略对PICC携管患者居家自护能力及不良事件的影响

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目的 探讨基于奥马哈系统的延续性护理结合预处理策略在经外周静脉置入中心静脉导管(PICC)携管患者中的应用效果。方法 选取2018 年 1 月至 2021 年 12 月我院收治的 184 例PICC携管患者为研究对象,按照数字法将其随机分为对照组和观察组,各 92例。对照组实施常规护理,观察组在常规护理基础上实施基于奥马哈系统的延续性护理结合预处理策略。比较两组的干预效果。结果 干预后,观察组的并发症类型与预防、置管目的与重要性及日常自我护理知晓率高于对照组(P<0。05)。干预后,观察组的信息获取、管理信心、导管日常观察、异常处理、带管运动、带管生活及维护依从性评分高于对照组(P<0。05)。观察组的不良事件总发生率低于对照组(P<0。05)。结论 基于奥马哈系统的延续性护理结合预处理策略有助于提高PICC携管患者的PICC相关知识知晓率和居家自护能力,降低不良事件发生率,值得推广。
Effects of continuous nursing based on Omaha system combined with pretreatment strategy on home self-care ability and adverse events of patients with PICC
Objective To explore the application effect of continuous nursing based on Omaha system combined with pretreatment strategy in patients with peripherally inserted central catheter(PICC).Methods From January 2018 to December 2021,184 patients with PICC admitted in our hospital were selected as the research objects.The patients were randomly divided into control group and observation group according to the digital method,with 92 cases in each group.The control group was given routine nursing,while the observation group was given continuous nursing based on Omaha system combined with pretreatment strategy on the basis of routine nursing.The intervention effects of the two groups were compared.Results After intervention,the awareness rates of types and prevention of complications,purpose and importance catheterization and daily self-care in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of information acquisition,management confidence,catheter daily observation,abnormal treatment,tube movement,tube life and maintenance compliance in the observation group were higher than those in the control group(P<0.05).The total incidence of adverse events in the observation group was lower than that in the control group(P<0.05).Conclusion Continuous nursing based on Omaha system combined with pretreatment strategy is helpful to improve the PICC related knowledge awareness rate and home self-care ability of patients with PICC,and reduce the incidence of adverse events,which is worthy of promotion.

Omaha systemcontinuous nursingpretreatment strategyperipherally inserted central catheter

孙宁、郭豆、薛丹、许静静、查莲

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西安医学院第二附属医院,陕西 西安,710000

奥马哈系统 延续性护理 预处理策略 经外周静脉置入中心静脉导管

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(8)
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