血液科化疗药物外渗导致静脉炎的预防与护理.docVIP

血液科化疗药物外渗导致静脉炎的预防与护理 　　【摘要】 目的：探讨血液科药物外渗导致静脉炎的临床预防措施及其护理方法。方法：对来本院诊治的1000例患者的入院资料进行分析，根据患者不同护理方法将其分为两组，对照组化疗过程中进行常规护理预防，试验组进行护理干预预防，比较两组预防、护理效果。结果：试验组12例发生静脉炎，静脉炎发生率为2.4%，低于对照组的16%（P0.05）；试验组96%的患者治疗效果理想，高于对照组的78%（P0.05）；试验组96%的患者对本院护理满意，高于对照组的72%（P0.05）；试验组ADL评分为（16.2±3.7）分，躯体功能评分为（59.6±7.5）分，心理功能评分为（65.8±9.2）分，社会功能评分为（57.2±6.5）分，均高于对照组（P0.05）。结论：血液科化疗药物外渗引起的静脉炎发病率较高，临床上采用护理干预进行预防、护理效果理想，值得推广使用。 　　【关键词】 血液科； 药物外渗； 静脉炎； 预防措施； 护理方法 　　【Abstract】 Objective：To study the onset drug exosmosis causes clinical preventive measures and nursing methods of phlebitis.Method： 1000 cases of patients admitted to our hospital data were analyzed， according to different nursing methods of patients will be divided into two groups， the control group was given routine nursing prevention during chemotherapy， the experimental group was given nursing intervention， effect of the two groups were compared for prevention and nursing.Result： 12 cases of phlebitis， phlebitis rate of 2.4%， lower than the 16% of the control group （P0.05）.The treatment effect of the experimental group group was 96%， higher than the 78% of the control group （P0.05）；the hospital care and satisfaction of the experimental group was 96% ， higher than 72% of the control group （P0.05）. ADL scores for the experimental group （16.2±3.7） points， physical function score was （59.6±7.5） points， psychological function score was （65.8±9.2） points， social function score was （57.2±6.5） points， were higher （P0.05）.Conclusion：Department of hematology， extravasation of chemotherapeutic drugs induced phlebitis incidence rate is high， the clinical application of nursing intervention for the prevention and nursing effect is ideal， it is worth to promote the use. 　　【Key words】 Department of hematology； Extravasation； Phlebitis； Preventive measures； Nursing method 　　First-author’s address：Nanyang City Center Hospital， Nanyang 473000，China 　　doi：10.3969/j.issn.1674-4985.2015.09.025 　　近年来，随着人们生活方式的改变肿瘤发病率出现上升趋势，并且成为了威胁人类健康的主要疾病之一。目前