护理干预对PICC置管患者导管维护依从性及并发症的影响.docVIP

护理干预对PICC置管患者导管维护依从性及并发症的影响 本文档格式为WORD,感谢你的阅读。 　　[摘要] 目的 探讨护理干预对中心外周静脉穿刺中心静脉置管（PICC）患者依从性和并发症的影响。方法 选择2012年1月-2013年12月120例门诊PICC患者作为观察对象，其中64例实施一般PICC置管常规护理并进行出院健康教育设为对照组，56例除实施一般PICC置管常规护理外还进行心理疏导、健康教育和门诊随访等护理干预措施设为观察组，采用自制调查问卷对患者进行调查。结果 观察组患者依从性高于对照组，差异有统计学意义（P0.05）；观察组发生导管阻塞、感染、导管破损等并发症发生率为3.57%，对照组为12.5%，两组比较，差异有统计学意义（P 0.05）。 结论 有效的护理干预能提高PICC患者的依从性，降低置管后并发症的发生率，为整个化疗过程提供有效的静脉保障，同时也提高患者的生活质量。 　　[关键词] PICC置管；护理干预；依从性 　　[] R472 [] B [] 1673-9701（2014）27-0069-04 　　[Abstract] Objective To probes into the impact of care intervention by the peripheral vein piercing center vein buy tube（picc） patients on adherence and complications. Methods Choose 120 cases of outpatient service PICC patients as observation objects from January 2012 in December 2013， with 64 cases of the implementaion of the general PICC buy conventional tube and care for health education from the hospital for the control group， in addition to the set of 56 example look at the implementation of the general PICC buy tube care outside， the comb guide for mental health， education and outpatient service such as follow-up care interventions， USES the homemade questionnaires to patients with an investigation. Results Watch adherence set of patients with higher than the control group， there were differences statistical significance （P0.05）， Watch group happen cathter blocking， infection， catheter damaged complications such as incidence 3.57%， the control group to 12.5%， two group of comparison， there were differences statistical significance（P0.05）. Conclusion Effective care intervention can improve the patient，spicc adherence， reduce buy tube complications after the incidence， for the entire process chemotherapy provide effective vein of security， but also improve the patient’s quality of life. 　　[Key words] PICC buy tube； Care intervention； Adherence 　　外周静脉置入中心静脉导管（peripherally inserted central catheter，PICC）是由外周静脉（贵要静脉、肘正中静脉、头静脉）穿刺插入导管，其尖端定位于上腔静脉的方法。PICC近年来广泛应用于全胃