预见性护理在重度胸腔积液静脉置管引流患者护理价值分析.docVIP

预见性护理对重度胸腔积液静脉置管引流患者的护理价值分析 刘娜 山东省枣庄市立医院 外科 【摘要】目的：探讨预见性护理对重度胸腔积液静脉置管引流患者的护理价值。方法：选择2012年5月至2014年2月在我院采用中心静脉置管引流治疗重度胸腔积液的患者143例，采用数字表法随机分为观察组72例和对照组71例。对照组给予常规护理，观察组给予预见性护理。结果：⑴观察组镇痛剂应用时间、引流时间和住院时间分别为（1.50±0.42）d、（6.41±1.73）d、（8.74±2.54）d，对照组的分别为（2.96±1.57）d、（9.85±2.12）d、（12.68±3.16）d，两组上述指标差异均有统计学意义（P0.05）。⑵观察组出现导管脱落1例、感染2例、低蛋白血症1例和气胸1例，其不良事件发生率为6.94%；对照组现导管脱落5例、感染7例、低蛋白血症6例和气胸3例，其不良事件发生率为29.58%，两组的差异有统计学意义（P0.05）。结论：预见性护理措施对重度胸腔积液静脉置管引流患者的护理能够显著提高治疗效果，有效缩短了治疗时间，并显著降低了不良事件的发生率，有重要的临床推广价值。 【关键词】胸腔积液；置管引流；预见性护理；价值分析 The value of nursing care nursing severe venous catheter drainage of pleural effusion in patients with analysis [Abstract] Objective: To investigate the value of nursing care nursing severe venous catheter drainage of pleural effusion in patients.Method: From May 2012 to February 2014, 143 patients with severe pleural effusion were chooseed in our hospital, the use of digital they were randomly divided into a control group of 71 cases and a observation group of 72 cases. The control group received routine care, nursing care given to the observation group.Results:⑴observation group analgesics application time, drainage time and hospital stay were (1.50±0.42)d/(6.41±1.73)d/(8.74±2.54)d, respectively the control group were (2.96±1.57)d/(9.85±2.12)d/(12.68±3.16)d, the two groups were statistically significant differences between these indicators (P 0.05). ⑵ observation group had catheter shedding one case, two cases of infection, hypoalbuminemia one case and one case of pneumothorax, adverse event rate of 6.94%; catheter control group is now shedding five cases, seven cases of infection, hypoalbuminemia 6 and pneumothorax cases, 3 cases of adverse events was 29.58%, the difference between the two groups was statistically significant (P 0.05).Conclusion: Nursing care measures against severe venous catheter drainage of pleural effusion patient care can significantly improve the therapeutic effect, effectively shortening the treatm