国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
14期
2213-2216
,共4页
渭良伤科油%按摩%外周静脉营养%静脉炎%护理
渭良傷科油%按摩%外週靜脈營養%靜脈炎%護理
위량상과유%안마%외주정맥영양%정맥염%호리
Wei Liang Shangke oil%Massage%Peripheral parenteral nutrition (PPN)%Phlebitis%Nursing care
目的 探讨预防经外周静脉营养导致注射局部静脉炎发生的有效方法.方法 将我科160例需外周静脉营养住院患者,按每月单双号第一次执行外周静脉营养输注分组,分为观察组82例,对照组78例,对照组采用渭良伤科油纱持续湿敷营养液输注的肢体;观察组在对照组的基础上增加肢体按摩,在营养液输注前5 min、输注中4h、输注后5 min配合渭良伤科油按摩输液肢体;对比两组患者静脉炎发生率、发生时间和其他并发症以及病人满意度效果评价.结果 观察组静脉炎的发生率小于对照组(P=0.01),发生静脉炎的时间大于对照组(P=0.01),病人满意度优于对照组,差异有统计学意义(P＜0.001).结论 采用渭良伤科油持续湿敷并配合伤科油肢体按摩能有效预防经外周静脉营养引起静脉炎,减少静脉炎的发生,提高病人满意度,值得临床推广应用.
目的 探討預防經外週靜脈營養導緻註射跼部靜脈炎髮生的有效方法.方法 將我科160例需外週靜脈營養住院患者,按每月單雙號第一次執行外週靜脈營養輸註分組,分為觀察組82例,對照組78例,對照組採用渭良傷科油紗持續濕敷營養液輸註的肢體;觀察組在對照組的基礎上增加肢體按摩,在營養液輸註前5 min、輸註中4h、輸註後5 min配閤渭良傷科油按摩輸液肢體;對比兩組患者靜脈炎髮生率、髮生時間和其他併髮癥以及病人滿意度效果評價.結果 觀察組靜脈炎的髮生率小于對照組(P=0.01),髮生靜脈炎的時間大于對照組(P=0.01),病人滿意度優于對照組,差異有統計學意義(P＜0.001).結論 採用渭良傷科油持續濕敷併配閤傷科油肢體按摩能有效預防經外週靜脈營養引起靜脈炎,減少靜脈炎的髮生,提高病人滿意度,值得臨床推廣應用.
목적 탐토예방경외주정맥영양도치주사국부정맥염발생적유효방법.방법 장아과160례수외주정맥영양주원환자,안매월단쌍호제일차집행외주정맥영양수주분조,분위관찰조82례,대조조78례,대조조채용위량상과유사지속습부영양액수주적지체;관찰조재대조조적기출상증가지체안마,재영양액수주전5 min、수주중4h、수주후5 min배합위량상과유안마수액지체;대비량조환자정맥염발생솔、발생시간화기타병발증이급병인만의도효과평개.결과 관찰조정맥염적발생솔소우대조조(P=0.01),발생정맥염적시간대우대조조(P=0.01),병인만의도우우대조조,차이유통계학의의(P＜0.001).결론 채용위량상과유지속습부병배합상과유지체안마능유효예방경외주정맥영양인기정맥염,감소정맥염적발생,제고병인만의도,치득림상추엄응용.
Objective To explore the effective way to prevent the phlebitis caused by PPN (PPN).Methods 160 patients who needed support through PPN were allocated into 2 groups according to the monthly odd or even number of date when the patient was first treated through PPN.Control group (n=78),in which the patients underwent continuous wet compress with Wei Liang Shangke oil to the limb where the nutrient fluid was injected.Study group (n=82) in which the patients received the management as the control group,and added massage to where the nutrient fluid was injected,at 5 minutes before,within 4 hours and 5 minutes after infusion.Incidence,time of phlebitis and other complications as well as the patients' satisfaction of two groups were comparatively assessed.Results The incidence of phlebitis in study group was less than that in control group (P=0.01).Time of phlebitis in study group was latter than that in control group (P=0.01).The patients' satisfaction in study group was better than that in control group (P＜0.001).Conclusions It is effective to prevent the phlebitis caused by PPN,the patients could receive continuous wet compress with Wei Liang Shangke oil plus massage to the limb where the nutrient fluid is injected.The intervention can improve the patients' satisfaction too.It is worthy of clinical application.
