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护理干预对外周中心静脉置管患者减少并发症的影响

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目的 探讨护理干预对外周中心静脉(PICC)置管患者发生各类并发症的影响.方法 选择2009年8月-2010年9月在我院实施置管的患者30例为干预组,实施认知、心理与行为护理干预,以2008年10月-2009年7月在我院实施置管的患者30例为对照组,比较两组患者的各种并发症发生率.结果 干预组患者发生堵管和静脉炎情况与对照组比较差异有统计学意义(P<0.05),两组患者在导管滑脱和导管破损发生率比较差异无统计学意义(P>0.05).结论 有效的护理干预能明显避免或减少静脉炎并发症的发生,有利于治疗的顺利进行,对患者的康复和生活质量起到了积极的作用.
Influence of nursing intervention on preventing complications in patients with peripherally inserted central catheter
Objective To explore the influence of nursing intervention on preventing complications in patients with peripherally inserted central catheter (PICC). Methods Thirty cases after PICC surgery in our hospital from August 2009 to September 2010 were recruited into the intervention group, and treated with nursing intervention including cognitive, psychological and behavioral intervention. Another 30 cases after PICC surgery in our hospital from October 2008 to July 2009 were recruited into the control group without nursing intervention.The incidences of various complications were compared between the two groups. Results The incidences of various complications in the intervention group were lower than those in the control group, with significant differences in catheter clog and phlebitis ( P <0.05 ). The incidences of catheter slippage and catheter damage were not statistically different ( P > 0.05 ). Conclusion Effective nursing intervention can obviously avoid or reduce the incidences of complications in patients with PICC, which is helpful in their therapy and quality of life.

沈柳、范绒丽、梁洪享

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上海交通大学医学院附属新华医院崇明分院,上海,202150

外周中心静脉置管 并发症 护理干预

上海市崇明县科学技术发展基金

ck2009-37

2011

上海护理
上海市护理学会

上海护理

CSTPCD
影响因子:1.097
ISSN:1009-8399
年,卷(期):2011.11(2)
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