循证护理在预防血液病患者中心静脉置管并发症中的应用.docVIP

循证护理在预防血液病患者中心静脉置管并发症中的应用 　　[摘要] 目的 探讨循证护理在预防血液病患者中心静脉置管并发症中的应用效果。 方法 以本院2009年5月～2012年2月收治的血液病患者200例为研究对象，使用随机数字表法分为循证护理组和常规护理组，每组各100例，对比两组患者的临床效果。 结果 循证组导管堵塞、导管脱落、导管渗漏和感染的发生率分别为18.00%、15.00%、17.00%和5.00%，显著低于常规护理组（分别为31.00%、29.00%、33.00%、13.00%）。循证护理组患者的护理满意度为（95.35±3.24）分，常规护理组为（89.32±3.38）分，循证护理组护理满意度得分高于常规护理组，差异有统计学意义（P0.05）。 结论 循证护理可以有效预防血液病患者中心静脉置管相关并发症的发生风险。 　　[关键词] 护理；循证；并发症；中心静脉置管 　　[中图分类号] R472 [文献标识码] B [文章编号] 1674-4721（2014）08（a）-0122-03 　　Application on evidence-based nursing in the prevention of blood disease patients with complications of central venous catheter 　　JIANG Wei-tao LI Fang WANG Can-hui FU Hai-hui WEN Jiao GUO Ling 　　Hematology Department，the Second People′s Hospital of Guangdong Province，Guangzhou 510317，China 　　[Abstract] Objective To explore the application effect of evidence-based nursing in the prevention of blood disease patients with complications of central venous catheter. Methods 200 patients with blood disease treated in our hospital from May 2009 to February 2012 were selected as the research object，they divided into evidence-based nursing group and routine nursing group by the random number table method，100 cases in each group，the clinical effect of two groups of patients were compared. Results The catheter jam，the incidence of catheter shedding，conduit leakage and infection were 18.00%，15.00%，17.00% and 18.00% respectively in evidence-based nursing group，significantly lower than those of the routine nursing group （31.00%，29.00%，33.00%，29.00%）.The nursing satisfaction was （95.35±3.24） points in evidence-based nursing group，the routine nursing group was （89.32±3.38） points，the nursing satisfaction score in evidence-based nursing was higher than that of routine nursing group，the difference was statistically significant （P0.05）. Conclusion Evidence-based nursing can effectively prevent blood disease in patients with central venous catheter related risk of complications. 　　[Key words] Care；Evidence-based；Complications