静脉路径管理在血液病患者输液中的应用研究

Application effects of path management in intravenous infusion on patients with blood diseases

目的探讨静脉路径管理在血液病患者输液中的应用效果。方法选择2009年1-10月我院血液科患者400例,选择200例为干预组,其中普通血液病患者47例,恶性血液病患者153例;对照组200例,其中普通血液病患者49例,恶性血液病患者151例。对照组按常规输液流程进行静脉输液,干预组通过静脉路径管理制订个性化输液方案进行静脉输液,观察两组患者静脉穿刺后并发症发生率及患者输液满意度。结果干预组静脉穿刺并发症的发生率明显低于对照组,患者静脉输液满意度有明显提高,差异有统计学意义(P<0.05)。结论对血液病患者采用个性化的输液方案,加强静脉路径管理,有助于减少患者因静脉穿刺产生的并发症,有利于血液病患者的治疗与康复,从而提高患者的满意度。

Objective To investigate the application effects of path management in intravenous infusion on patients with blood diseases. Methods A total of 400 cases in the department of hematology in our hospital were enrolled from January to October 2009. They were randomly divided into the control group （ n = 200 ; 49 patients with common blood diseases, and 151 patients with hematologic malignancies） and the intervention group （n = 200; 47 patients with common blood diseases, and 153 patients with hematologic malignancies）. The patients in the control group were given conventional intravenous infusion, and the patients in the intervention group were given individualized intravenous therapy via path management. The complications after venipuncture and the patients＇ satisfaction were observed. Results The incidence of complications after venipuneture in the intervention group was significantly lower than that in the control group （P 〈 0.05）. The patients＇ satisfaction with intravenous infusion was also significantly promoted in the intervention group compared with that in the control group （P 〈 0.05）. Conclusion Application of individualized intravenous therapy via path management can reduce the incidence of complications after venipuncture in the patients with blood diseases and improve their satisfaction.