护理干预对留置针引起静脉炎的临床观察

Nursing Intervention of Indwelling Needle Induced Phlebitis

目的分析留置针引起的静脉炎的原因,观察护理干预对留置针引起的静脉炎的效果,提高护理质量。方法选择2011年1月-2012年9月胸外科静脉留置针患者250例,随机设对照组114例与实验组136例,观察静脉炎的发生情况,对实验组采取预防措施,且对发生的静脉炎患者采取中药外敷、硫酸镁湿热敷、水胶体敷料及马铃薯片外敷等护理方法。结果采取相应护理干预措施的留置针患者114例,并发静脉炎28例,未采取护理干预措施的留置针患者136例,并发静脉炎14例。结论采取相应护理干预措施的患者(实验组)留置针引起静脉炎的概率明显小于未采取护理干预措施(对照组)的患者(P<0.01),通过采取一定的护理干预措施可以预防和减少静脉留置针引起静脉炎的发生率。

Objective Though analyzing the reasons of phlebitis caused by remaining needle and observing the effect of nurs- ing interventions to phlebitis to raise the quality of care. Methods 252 patients of our department from January 2011 to Septem- ber 2012 with remaining needles were chosen and randomly divided into two groups to observe the circumstance of phlebitis ,with 114 patients in control group and 136 patients in experimental group. Adopting protective measures in experiment group, and using nursing interventions include Chinese herbal drugs external application, magnesium sulfate applying hot soaks, hydrocolloid dress- ings and potato chip external application in patients with phlebitis. Results 14 of the 136 patients accepting corresponding nurs- ing interventions had phlebitis, and 28 of the 114 patients that had not accepted nursing interventions had phlebitis. Conclusion The incidence rate of phlebitis caused by remaining needle in patients accepting corresponding nursing intervention（ experimental group） was obviously lower than those not（ control group） ,P 〈 0.01. Adopting corresponding nursing intervention can prevent and reduce the incidence rate of phlebitis caused by remaining needle.