静疗专科护理干预对防范危重症患者PICC并发症的可行性研究.pdfVIP

论著 静疗专科护理干预对防范危重症患者PICC 并发症的可行性研究 郑晓波 （汕头市中心医 ，广东 汕头 515031 ） 摘要】目的 探讨静疗专科护理干预对防范危重症患者经外周置入中心静脉导管 PICC ）并发症的可行性。方法 将2018 年1 月—2020 年5 月汕头市中心医院收治的200 例需要行PICC 置管的危重症患者按随机数字表法分为2组， 各100 例。对照组施以常规护理，观察组施以静疗专科护理干预，对2 组出血、感染、脱管、堵管、静脉炎、移位、静脉血 栓的发生率以及满意度、PICC 留置时间、总依从性、一次性穿刺成功率、健康知识总掌握率进行观察。结果 相较于 对照组，观察组的护理满意度明显更高，出血、脱管、堵管、静脉炎、移位、静脉血栓的发生率明显较低，PICC 留置时间 明显较长，总依从性、一次性穿刺成功率、健康知识总掌握率情况明显较高，差异均显著 P0.05 ），2 组感染发生率无 统计学差异 P0.05 ）。结论 静疗专科护理干预对防范危重症患者PICC 并发症具有较高的可行性，不仅能够有效 降低出血、脱管、堵管、静脉炎、移位、静脉血栓的发生率，同时能够提升满意度、总依从性、一次性穿刺成功率、健康知 识掌握率，延长PICC 留置时间。 关键词】危重症 PICC 置管 并发症 静疗专科护理 可行性 Feasibility study of specialty nursing intervention of static therapy on prevention of PICC complications in critically ill patients Zhe ng X iaobo.The Ce ntral Hospital of Shantou City,Shantou,Guangdong 515031 【Abstract 】Obj ective To explore the feasibility of nursing nursing intervention for prevention of PICC complications in critically ill patients. Methods 200 critical patients who underwent P I C C catheterization from January 2018 to May 2020 were divided into two groups ，100 each ，routine nursing intervention ，bleeding ，infection ，prolapse ，tube obstruction ，intravenous inflammation ，displacement ，venous thrombosis rate ，satisfaction ，PICC retention time ，total compliance and success rate of disposable puncture.Results View The care satisfaction was significantly higher than the control group ，with significantly lower incidence of bleeding ，prolapse ，blockage ，venulitis ，displacement ，and venous thrombosis ，significantly longer PICC lien ， significantly higher total compliance and one-time puncture ，significantly different compared with the control group （P0.05 ）， but no difference in the incidence of infection （P0.05 ）.Conclusion Specialized nursing intervention has high feasibility to preventing PICC complications in critical patients ，which can not onl