摘要
目的：探讨多汗患者经外周穿刺置入中心静脉导管（PICC）隐性脱管的护理干预效果。方法选择2013年1～12月在河北医科大学第二医院呼吸一科住院并接受PICC导管留置的患者，根据随机原则将符合标准的100例患者分为两组，各50例。对照组采用PICC留置导管常规护理方法，观察组应用改变固定方式及换药频率的护理方法。观察两组患者的隐性脱管发生率、经济费用、患者护理满意度及焦虑改善情况。结果观察组和对照组隐性脱管总发生率（10%比28%）比较，差异有统计学意义（χ2=5.07，P〈0.05）；观察组和对照组经济费用[（996.50±48.7）比（1044.96±46.1）元]比较，差异有统计学意义（t =4.34，P〈0.05）；观察组和对照组护理满意度（96%比52%）比较，差异有统计学意义（χ2=6.72，P〈0.05）；护理后，观察组SAS评分[（50.1±11.3）分]低于对照组[（61.8±10.5）分]（t=11.24，P〈0.05）及护理前[（64.1±8.2）分]（t =12.69，P〈0.05）。结论改变固定方式及换药频率的护理方法能明显降低多汗患者PICC隐性脱管的发生率，减少经济费用，提高患者的护理满意度及改善患者的焦虑状况，值得临床护理推广应用。
Objective To investigate the effect of nursing intervention on recessive pipe in sweaty patients with periph-erally inserted central catheter （PICC）. Methods 100 patients accepted PICC of the First Department of Respiration Medicine in the Second Hospital of Hebei Medical University from January to December 2013 were selected and ran-domly divided into two groups, 50 cases in each group. The control group was given PICC catheter routine nursing care, the observation group was given fixed frequency, dressing change method. Incidence rate of recessive pipe, economic cost, nursing satisfaction of patients, anxiety improvement of patients between two groups were observed. Results Total incidence rate of recessive pipe between observation group and control group （10% vs 28%） was compared, with statis-tical difference （χ2=5.07, P〈 0.05）; the economic cost between observation group and control group [（996.50±48.7） v s （1044.96±46.1） yuan] was compared, with statistical difference （t =4.34, P〈0.05）; nursing satisfaction between obser-vation group and control group （96%vs 52%） was compared, with statistical difference （χ2=6.72, P〈0.05）;after nurs ing care, SAS score of observation group [（50.1±11.3） scores] was lower than that of control group [（61.8±10.5） scores] （t=11.24, P〈0.05） and before nursing care [（64.1±8.2） scores]（t =12.69,P〈0.05） respectively. Conclusion Change of fixation method and dressing frequency can significantly reduce the incidence rate of recessive pipe of PICC, reduce the cost, improve nursing satisfaction of patients and improve the anxiety of patients, it is worthy of popularization and application in clinical nursing.
出处
《中国医药导报》
CAS
2015年第17期113-115,共3页
China Medical Herald
基金
河北省卫生厅医学科学研究课题(20130499)
