国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
11期
1665-1668
,共4页
曾祥凤%周友兰%蒋春燕%滕小秋
曾祥鳳%週友蘭%蔣春燕%滕小鞦
증상봉%주우란%장춘연%등소추
经外周静脉置入中心静脉导管%临床护理路径%化疗%护理措施
經外週靜脈置入中心靜脈導管%臨床護理路徑%化療%護理措施
경외주정맥치입중심정맥도관%림상호리로경%화료%호리조시
Peripherally inserted central catheter,Clinical nursing pathway%Chemotherapy%Nursing measures
目的 探讨临床护理路径在肿瘤科经外周静脉置人中心静脉导管( pcripheraily ineerted central catheter.PICC)中的应用及效果评价,分析并发症的原因及预防措施.方法 2009年4月至2011年4月期间的100例使用PICC的住院患者,按置管时间排序随机分为两组,奇数为实验组50例,应用临床护理路径,偶数为对照组50例,应用常规护理,进行临床护理路径的对比研究,观察其置管过程中的异常情况和护理措施.结果 与对照组相比,实验组一次性穿刺成功47例,穿刺次数减少(P＜0.05 );导管堵塞1例、感染1例,并发症少(P＜ 0.05)；置管时间延长,且工作效率、护理质量及家属满意评价均高于对照组(P＜0.05).结论 经过100例病人的观察,将临床护理路径应用PICC中具有科学性、实用性、有效性,值得临床推广.
目的 探討臨床護理路徑在腫瘤科經外週靜脈置人中心靜脈導管( pcripheraily ineerted central catheter.PICC)中的應用及效果評價,分析併髮癥的原因及預防措施.方法 2009年4月至2011年4月期間的100例使用PICC的住院患者,按置管時間排序隨機分為兩組,奇數為實驗組50例,應用臨床護理路徑,偶數為對照組50例,應用常規護理,進行臨床護理路徑的對比研究,觀察其置管過程中的異常情況和護理措施.結果 與對照組相比,實驗組一次性穿刺成功47例,穿刺次數減少(P＜0.05 );導管堵塞1例、感染1例,併髮癥少(P＜ 0.05)；置管時間延長,且工作效率、護理質量及傢屬滿意評價均高于對照組(P＜0.05).結論 經過100例病人的觀察,將臨床護理路徑應用PICC中具有科學性、實用性、有效性,值得臨床推廣.
목적 탐토림상호리로경재종류과경외주정맥치인중심정맥도관( pcripheraily ineerted central catheter.PICC)중적응용급효과평개,분석병발증적원인급예방조시.방법 2009년4월지2011년4월기간적100례사용PICC적주원환자,안치관시간배서수궤분위량조,기수위실험조50례,응용림상호리로경,우수위대조조50례,응용상규호리,진행림상호리로경적대비연구,관찰기치관과정중적이상정황화호리조시.결과 여대조조상비,실험조일차성천자성공47례,천자차수감소(P＜0.05 );도관도새1례、감염1례,병발증소(P＜ 0.05)；치관시간연장,차공작효솔、호리질량급가속만의평개균고우대조조(P＜0.05).결론 경과100례병인적관찰,장림상호리로경응용PICC중구유과학성、실용성、유효성,치득림상추엄.
Objective To investigate the application of clinical nursing pathway for patients with peripherally inserted central catheter ( PICC ) at the Oncology Department, and to analyze the causes of complications and the preventive measures.Methods 100 hospitalized patients who had received PICC during the period of April 2009 to April 2011 were randomly assgined to study group or control group according to the time to placement of the PICC line.The study group ( 50 patients ) received nursing care under clinical nursing pathway,and the control group ( 50 patients ) received conventional nursing.The clinical nursing pathway was compared between the two groups.The abnormal state of line placement and the nursing measures were observed.Results As compared with the control group,the procedure was successful in 47 patients,with a reduction in the number of puncture in the study group (P＜ 0.05 ) catheter obstruction occurred in one patient and infection in one,wih fewer complications ( P＜ 0.05 ) The study group was superior to the control group in catheter maintenance,work efficiency,quality of nursing,and satisfication level of family members ( P＜0.05 ).Conclusions Application of clinical nursing pathway in PICC is scientific,practical,and effective.It is worth popularizing clinically.
