按压式冲管法减少老年患者外周静脉留置针漏液的效果

Effects of Pressing Washpipe Method on Reducing Leakage of the Peripheral Venous Indwelling for Elderly Patients

目的探讨按压式冲管法对老年患者外周静脉留置针漏液现象的影响,以减少漏液的发生,延长留置时间。方法将便利选取的300例60岁以上老年输液患者随机分为干预组和对照组各150例,对照组行常规的正压脉冲式冲管法,干预组行按压式冲管法,比较两组患者的漏液发生率及留置针使用时间。结果按压式冲管法的漏液发生率(16%)低于正压脉冲冲管法(34%),其留置针使用时间[(66.18±21.20)h]长于正压脉冲冲管法[(54.86±18.15)h],差异均有统计学意义(P<0.01或P<0.05)。结论按压式冲管法能更好地保护血管,延长留置针使用时间,减轻老年患者多次穿刺的痛苦。

Objective To investigate the effect of pressing washpipe method on the leakage of the peripheral venous indwelling for elderly patients. Methods By convenience sampling,a total of 300 elderly patients （aged 60 or above） were recruited and randomly divided into experimental group and control group,with 150 patients in each group. Experimental group was given the pressing washpipe method,while the control group was given the commonly used positive pressure pulsed washpipe method. Leakage incidence and time for indwelling were compared between the two groups. Results Compared with positive pressure pulsed washpipe method （34%）, pressing type washpipe method （16~） is more effective in reducing the occurrence of leakage for elderly patients（P^O. 01） and the retention time of the experimental group [（66. 18±21.20）hi was significantly longer than which in the control group[（54.86 ± 18. 15）h] （P〈0.05）. Conclusion The pressing type washpipe method can better protect the vein and extend the retention time,and also contribute to reduce the puncture pain of elderly patients.