中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
15期
1780-1782,1783
,共4页
焦虑%疼痛%耳穴贴压%PICC
焦慮%疼痛%耳穴貼壓%PICC
초필%동통%이혈첩압%PICC
Anxiety%Pain%Auricular points sticking%Peripherally inserted central catheter
目的：探讨耳穴贴压对超声引导下 PICC 置管患者焦虑及疼痛的影响及使用效果。方法于2013年12月—2014年5月将60例拟行超声引导下PICC置管的患者按随机数字表法分为对照组和观察组,各30例,对照组给予常规护理,观察组在常规护理基础上给予耳穴贴压。比较两组患者PICC置管前焦虑评分、血压和心率,测评PICC置管过程中疼痛评分。结果观察组PICC置管前焦虑评分为(27.83±4.40)分,低于对照组的(31.77±4.84)分,两组比较差异有统计学意义( t=3.293,P<0．05)；观察组置管前收缩压、舒张压、心率均低于对照组,两组比较差异有统计学意义(P<0.05)。置管过程中,观察组的局部麻醉、静脉穿刺、拔穿刺针、刀片扩皮、送插管鞘、撤插管鞘疼痛评分分别为(3.57±1．104),(2.97±1.066),(0.87±0.973),(1.77±0.971),(2.50±1.358),(1.07±0.980)分,均低于对照组[(5.13±1.548),(4.90±1.296),(1.87±1.795),(3.43±1.478),(4.50±1.635),(2.07±1.461)分],差异均有统计学意义(t值分别为-4.513,-6.384,-2.601,-5.198,-5.154,-3.198；P<0.05)。结论耳穴贴压能有效减轻PICC置管患者术前焦虑,稳定患者生命体征,并减轻PICC置管所致疼痛。
目的：探討耳穴貼壓對超聲引導下 PICC 置管患者焦慮及疼痛的影響及使用效果。方法于2013年12月—2014年5月將60例擬行超聲引導下PICC置管的患者按隨機數字錶法分為對照組和觀察組,各30例,對照組給予常規護理,觀察組在常規護理基礎上給予耳穴貼壓。比較兩組患者PICC置管前焦慮評分、血壓和心率,測評PICC置管過程中疼痛評分。結果觀察組PICC置管前焦慮評分為(27.83±4.40)分,低于對照組的(31.77±4.84)分,兩組比較差異有統計學意義( t=3.293,P<0．05)；觀察組置管前收縮壓、舒張壓、心率均低于對照組,兩組比較差異有統計學意義(P<0.05)。置管過程中,觀察組的跼部痳醉、靜脈穿刺、拔穿刺針、刀片擴皮、送插管鞘、撤插管鞘疼痛評分分彆為(3.57±1．104),(2.97±1.066),(0.87±0.973),(1.77±0.971),(2.50±1.358),(1.07±0.980)分,均低于對照組[(5.13±1.548),(4.90±1.296),(1.87±1.795),(3.43±1.478),(4.50±1.635),(2.07±1.461)分],差異均有統計學意義(t值分彆為-4.513,-6.384,-2.601,-5.198,-5.154,-3.198；P<0.05)。結論耳穴貼壓能有效減輕PICC置管患者術前焦慮,穩定患者生命體徵,併減輕PICC置管所緻疼痛。
목적：탐토이혈첩압대초성인도하 PICC 치관환자초필급동통적영향급사용효과。방법우2013년12월—2014년5월장60례의행초성인도하PICC치관적환자안수궤수자표법분위대조조화관찰조,각30례,대조조급여상규호리,관찰조재상규호리기출상급여이혈첩압。비교량조환자PICC치관전초필평분、혈압화심솔,측평PICC치관과정중동통평분。결과관찰조PICC치관전초필평분위(27.83±4.40)분,저우대조조적(31.77±4.84)분,량조비교차이유통계학의의( t=3.293,P<0．05)；관찰조치관전수축압、서장압、심솔균저우대조조,량조비교차이유통계학의의(P<0.05)。치관과정중,관찰조적국부마취、정맥천자、발천자침、도편확피、송삽관초、철삽관초동통평분분별위(3.57±1．104),(2.97±1.066),(0.87±0.973),(1.77±0.971),(2.50±1.358),(1.07±0.980)분,균저우대조조[(5.13±1.548),(4.90±1.296),(1.87±1.795),(3.43±1.478),(4.50±1.635),(2.07±1.461)분],차이균유통계학의의(t치분별위-4.513,-6.384,-2.601,-5.198,-5.154,-3.198；P<0.05)。결론이혈첩압능유효감경PICC치관환자술전초필,은정환자생명체정,병감경PICC치관소치동통。
Objective To investigate the effect of auricular points sticking interventions on relieving anxiety and pain caused by PICC catheter under ultrasound-guidance. Methods A total of 60 patients with PICC catheter under ultrasound-guided were divided into control group (30 cases) and observation group (30 cases) according to random number table. The patients in the control group received routine nursing care and the patients in the observation group were added the intervention of auricular points sticking. The scores of patients′anxiety and blood pressure ( BP) and heart rate ( HR) were compared between two groups before PICC catheter, and the score of pain of patients were evaluated during the operation of PICC catheter. Results Before PICC catheter insertion, the anxiety, score in the observation group was (27. 83 ± 4. 40), which was lower than that in the control group (31. 77 ± 4. 84) and the differences was statistically significant (t=3. 293,P<0. 05). The observation group patients′systolic pressure, diastolic pressure and HR were significantly lower than control group ( P < 0. 05 ). During the operation of PICC catheter insertion, pain, score of local anesthetic, venipuncture, pullout needle, blade expanded skin, send vascular sheath and pull vascular sheath in observation group were (3.57 ±1.104),(2.97 ±1.066),(0.87 ±0.973),(1.77 ±0.971),(2.50 ±1.358) and (1. 07 ± 0. 980), which were lower than those in the control group (5. 13 ± 1. 548),(4. 90 ± 1. 296),(1. 87 ± 1. 795), (3. 43 ± 1. 478),(4. 50 ± 1. 635) and (2. 07 ± 1. 461), and the differences were statistically significant (t= -4. 513, -6. 384, -2. 601, -5. 198, -5. 154, -3. 198;P <0. 05). Conclusions The auricular points sticking can effectively alleviate anxiety and stabilize vital signs in patients with PICC, and relieve pain caused by PICC catheter.
