CAJ | 학술논문

目的提高消化道肿瘤术后患者浅静脉留置针的护理质量.方法从手术当日开始,将200例留置浅静脉留置针的消化道肿瘤术后患者随机分成2组,对照组100例,按常规护理方法,实验组100例,采用循证护理方法.比较两组患者静脉炎、堵管、留置时间及患者满意度四个指标.结果对照组发生静脉炎50例、堵管40例、留管时间1～2天的70例3～5天的30例、患者满意度10％.实验组发生静脉炎5例、堵管2例、留管时间1～2天的10例3～5天的90例,患者满意度90％.均P＜ 0.01.结论循证护理方法能降低消化道肿瘤术后患者浅静脉留置针并发症,使消化道肿瘤术后患者静脉营养支持、各项治疗得以顺利完成,还能有助于危重患者的抢救,减少护士工作量.
목적 제고소화도종류술후환자천정맥류치침적호리질량.방법 종수술당일개시,장200례류치천정맥류치침적소화도종류술후환자수궤분성2조,대조조100례,안상규호리방법,실험조100례,채용순증호리방법.비교량조환자정맥염、도관、류치시간급환자만의도사개지표.결과 대조조발생정맥염50례、도관40례、류관시간1～2천적70례3～5천적30례、환자만의도10％.실험조발생정맥염5례、도관2례、류관시간1～2천적10례3～5천적90례,환자만의도90％.균P＜ 0.01.결론 순증호리방법능강저소화도종류술후환자천정맥류치침병발증,사소화도종류술후환자정맥영양지지、각항치료득이순리완성,환능유조우위중환자적창구,감소호사공작량.
Objective To improve the quality of care for patients with superficial vein indwelling needle after surgery for gastrointestinal tumors.Methods 200 patients with superficial vein indwelling needle after surgery for gastrointestinal tumors were randomly assigned to receive routine nursing care (control group,100 patients),or evidence-based nursing (study group,100 patients).The incidence rates of phlebitis and venous obstruction,time to placement of indwelling needle,and degrees of patient satisfaction were compared between the two groups.Results The incidence rates of phlebitis and venous obstruction were lower,time to placement of indwelling needle was longer,and degrees of patient satisfaction were higher in the study group than in the control group (P ＜ 0.01 for all comparisons).Conclusions Evidencebased nursing can reduce complications associated with superficial vein indwelling needle in patients undergoing surgery for gastrointestinal tumors.It helps complete parenteral nutritional support and other therapies,save life of critically ill patients,and reduce workload in nurses.