中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
13期
1575-1577
,共3页
循证护理%肿瘤%PICC%机械性静脉炎
循證護理%腫瘤%PICC%機械性靜脈炎
순증호리%종류%PICC%궤계성정맥염
Evidence-based nursing%Tumor%PICC%Mechanical phlebitis
目的 探讨循证护理在肿瘤患者中预防PICC导管相关性静脉炎的临床效果.方法 将123例采用PICC导管行化疗的肿瘤患者随机分为观察组和对照组,对照组仅行常规护理,观察组给予循证护理,观察并比较两组患者置管后静脉炎的发生率、发生时间及平均置管时间.结果 观察组患者导管相关性静脉炎的发生率为6.2％,明显低于对照组的20.7％,且差异有统计学意义(x2 =5.23,P＜0.05).而且,观察组患者静脉炎发生的时间(7.1±2.1)d明显晚于对照组(3.3±1.4)d,平均置管时间(103.6±10.2)d明显长于对照组(72.3±11.5)d,差异均有统计学意义(t分别为3.26,4.65;P＜0.05).结论 对行PICC置管的肿瘤患者进行循证护理能显著降低导管相关性静脉炎的发生率,延长置管时间,值得临床推广和进一步深入研究.
目的 探討循證護理在腫瘤患者中預防PICC導管相關性靜脈炎的臨床效果.方法 將123例採用PICC導管行化療的腫瘤患者隨機分為觀察組和對照組,對照組僅行常規護理,觀察組給予循證護理,觀察併比較兩組患者置管後靜脈炎的髮生率、髮生時間及平均置管時間.結果 觀察組患者導管相關性靜脈炎的髮生率為6.2％,明顯低于對照組的20.7％,且差異有統計學意義(x2 =5.23,P＜0.05).而且,觀察組患者靜脈炎髮生的時間(7.1±2.1)d明顯晚于對照組(3.3±1.4)d,平均置管時間(103.6±10.2)d明顯長于對照組(72.3±11.5)d,差異均有統計學意義(t分彆為3.26,4.65;P＜0.05).結論 對行PICC置管的腫瘤患者進行循證護理能顯著降低導管相關性靜脈炎的髮生率,延長置管時間,值得臨床推廣和進一步深入研究.
목적 탐토순증호리재종류환자중예방PICC도관상관성정맥염적림상효과.방법 장123례채용PICC도관행화료적종류환자수궤분위관찰조화대조조,대조조부행상규호리,관찰조급여순증호리,관찰병비교량조환자치관후정맥염적발생솔、발생시간급평균치관시간.결과 관찰조환자도관상관성정맥염적발생솔위6.2％,명현저우대조조적20.7％,차차이유통계학의의(x2 =5.23,P＜0.05).이차,관찰조환자정맥염발생적시간(7.1±2.1)d명현만우대조조(3.3±1.4)d,평균치관시간(103.6±10.2)d명현장우대조조(72.3±11.5)d,차이균유통계학의의(t분별위3.26,4.65;P＜0.05).결론 대행PICC치관적종류환자진행순증호리능현저강저도관상관성정맥염적발생솔,연장치관시간,치득림상추엄화진일보심입연구.
Objective To explore the effects of evidence-based nursing on preventing mechanical phlebitis in cancer patients with peripherally insert central catheter.Methods Totals of 123 cancer patients with peripherally insert central catheter in sixth people' s hospital of Shaoxing city were randomly divided into experiment group and control group.And 58 patients in the control group received only traditional nursing while the evidence-based nursing was carried on the 65 patients in experiment group.Then,the occurrence time of mechanical phlebitis,the incidence of mechanical phlebitis and the mean catheterization time were compared between the two groups.Results The incidence of mechanical phlebitis in experiment group was 6.2％,significantly lower than that of control group which was 20.7％ (x2 =5.23,P ＜ 0.05).The occurrence time of mechanical phlebitis was later than that of the control group [(7.1 ± 2.1) vs (3.3 ± 1.4) d],and the mean catheterization time was significantly longer than that of the control group [(103.6 ± 10.2) vs (72.3 ± 11.5) d],and the differences were statistically significant (t =3.26,4.65,respectively ;P ＜ 0.05).Conclusions Evidencebased nursing in cancer patients with peripherally insert central catheter can significantly reduce the incidence of mechanical phlebitis,so it is worthy of clinical practice.
