护理干预对中心静脉导管置管后静脉炎的控制效果评价-论文.pdf

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1、中华医院感染学杂志2014年第24卷第15期ChinJNosocomiolVo1．24No．152014·3759·doi：10．11816／cn．ni．2014—133086论著护理干预对中心静脉导管置管后静脉炎的控制效果评价毛莎，曹军平，管丽丽，刘小丽，赵楠，陈晓阳。(1．武警总医院移植研究所2．供应室3．手术室，北京100039)摘要：目的对肝移植患者的经外周静脉穿刺置人中心静脉导管(PICC)置管进行综合护理干预，有效降低静脉炎的发生率。方法调查医院2011年1月一2012年7月进行PICC置管的患者共4l1例，以2011年l1月1日PICC置管的患者采用综合护理措施前后为

2、界，随机分为对照组和干预组；对照组229例采用传统置管方法，干预组182例通过置管前、中、后干预护理及指导患者正确进行自我维护等综合护理干预措施预防静脉炎的发生。结果对照组229例PICC置管后患者发生静脉炎39例发生率为17．O3，干预组182例患者发生静脉炎15例发生率为8．24，经。检验，两组问差异有统计学意义(。一6．86，P

3、4529(2014)15-3759—03EffectassessmentbynursinginterventiontopreventphlebitisforpatientsMAOSha，CAOJun-ping，GUANLi—li，LIUXiao—li，ZHAoNan，CHENXiao-yang(GeneralHospitalofChinesePeopleSArmedPoliceForce，Beijing100039，China)Abstract：OBJECTIVEComprehensivenursinginterventionofPICCforpatientsoflivertran

4、splantationcaneffec-tivelyreducetheincidenceofphlebitisandincreasethetimeofPICCindwelling．METHODSNov．1，2011wasbounded，andsincethatdaycomprehensivenursingmethodwasimplementedforpatientswithPICC．The411patientswithPICCbetweenJan．2011andJu1．2011inourhospitalweredividedintocontrolgroupandinterven—t

5、iongroupaccordingtotheboundary；thecontrolgroupincluding229casesusedconventionalcathetermethod，whiletheinterventiongroupincluding182caseswereadoptedbypostoperativecomprehensivenursinginterventionsuchasfullypreparedbeforePICC，correctoperationinPICC，nursinginterventionafterPICCandguidingpatientst

6、omaintaintheirselvesSOastopreventtheoccurrenceofphlebitis．RESULTSThephlebitisoccuredin39casesamongthe229casesofthecontrolgroupafterPICC，andtheincidencewas17．03％，whilethephlebitisoccuredin15casesamongthe182casesoftheinterventiongroupafterPICC，theincidencewas8．24．Bythechisquaretest，itshowedthatt

7、herewassignificantbetweenthetWOgroups(一6．86，P<0．01)．CONCLUSIONComprehensivenursinginterventionforpatientsoflivertransplantationbeforeandafterPICCcaneffectivelyreducetheincidenceofphlebitisandachievedbetterclinicaloutcome．Keywords：Livert