护理干预在多汗患者 PICC 隐性脱管中的效果观察

Effect of nursing intervention on recessive pipe of PICC of sweaty patients

目的：探讨不同PICC固定方法和更换透明敷料的频率对多汗患者PICC隐性脱管发生率的防范效果。方法选择PICC导管留置的住院患者101例，采用随机数字表法分为对照组53例和干预组48例。对照组患者采用透明敷料固定导管，每周更换1次；干预组患者采用透明敷料固定导管，每3天更换1次，同时于近穿刺点2 cm处导管上透明敷料下加贴水胶体敷料。观察两组患者脱管的发生率。结果对照组患者脱管率为28．3％，干预组脱管率为10．4％，两组比较差异有统计学意义（χ2＝5．0736，P＜0．05）。结论采用加强导管固定方法及增加敷贴更换频率能有效地减少多汗患者 PICC隐性脱管的发生率。

Objective To explore the influence on incidence of recessive pipe of PICC with different fix methods and different frequencies of replacement transparent dressing in sweaty patients .Methods Totals of 101 cases hospitalized in the pulmonary division of second hospital of Hebei Medical University undergoing PICC catheter indwelling were randomly divided into control group （n=53） and intervention group （n=48）.Control group adopted transparent dressing fixed the PICC , once of week replacement .Intervention group adopted transparent dressing fixed the PICC combined with discount colloid dressing on the 2 cm to puncture part ,and replacement once of 3 days.Observed the incidence rates of PICC exodus .Results The incidence rate of PICC exodus of control group was significantly higher than that of intervention group （28.3%vs 10.4%,χ2 =5.073 6;P〈0.05）.Conclusions Improved methods of PICC fixed and increasing frequencies of replacement transparent dressing can effectively reduce the incidence of recessive pipe of PICC in sweaty patients .