预防浅静脉留置针并发症护理干预方式及应用意义评析.docVIP

预防浅静脉留置针并发症护理干预方式及应用意义评析 　　【摘要】目的：分析预防浅静脉留置针并发症的护理干预方式，并对其应用意义进行评析。方法：选取我院收治的应用浅静脉留置针治疗的患者200例作为研究对象，将其随机分为两组，每组均为100例，分别记为A组和B组，A组采用常规预防护理措施，B组采用循证护理模式，比较两组患者的并发症发生率。结果：A组患者和B组患者的静脉炎发生率分别为5.0%、1.0%，皮下血肿发生率分别为8.0%、2.0%，导管堵塞发生率分别为2.0%、0，液体渗漏发生率分别6.0%、1.0%，均有B组低于A组的情况。其总的并发症发生率分别为21.0%、4.0%，B组显著低于A组，比较有统计学差异，P0.05。结论：采用循证护理模式对浅静脉留针并发症进行预防的效果可靠，可有效减少静脉炎、皮下血肿、导管堵塞、液体渗漏的发生，确保治疗的安全性，值得临床推广应用。 　　【关键词】浅静脉留置针；并发症；预防；护理干预 　　[Abstract] Objective：To analyze the nursing intervention methods to prevent the complications of superficial vein indwelling needle and evaluate its application significance. Methods： application of superficial vein indwelling needle were selected in our hospital treatment of 200 patients as the research object， randomly divided into two groups， each group had 100 cases， were recorded as A group and B group， A group with routine nursing measures， B group received evidence-based nursing mode， the incidence of two groups of patients with complications. Results： the incidence of phlebitis in group A and group B was 5% and 1% respectively， and the incidence of subcutaneous hematoma was 8% and 2%， respectively. The incidence of catheter blockage was 2% and 0， respectively. The incidence of fluid leakage was 6% and 1%， respectively， which were all lower in group B than those in group A. The incidence of total complications was 21% and 4% respectively， and group B was significantly lower than that in group A， and the difference was statistically significant， P 0.05. Conclusion： the use of evidence-based nursing on the prevention of complications of superficial vein retention effect is reliable， can effectively reduce phlebitis， subcutaneous hematoma， catheter blockage， liquid leakage， to ensure the safety of the treatment， it is worthy of clinical application. 　　[Key words] Superficial vein indwelling needle； complication； prevention； nursing intervention 　　【中图分类号】R192.6 【文献标识码】B 【文章编号】2095-6851（2017）12--01 　　静脉给药是临床治疗活动中常用的一种给药途径，经静脉给药不仅起效快，而且给药剂量可控，生物利用