循证护理在预防血透深静脉留置导管相关并发症中的应用

The application of evidence-based nursing in the prevention of deep vein catheterization as hemodialysis access related complications

目的:探讨循证护理在预防血透深静脉留置导管相关并发症中的应用效果。方法:将2012年45例行血透深静脉留置导管的患者设为对照组,2013年45例行血透深静脉留置导管的患者设为循证护理组,对出现的并发症进行临床评估,应用循证护理思维加以具体指导,制定护理干预措施,并对干预结果进行分析。结果:对照组/循证组中出血者3例/1例,感染者12例/6例,血栓者7例/5例,导管脱落者2例/0例,血流量不佳者7例/4例,两组患者并发症发生率比较具有统计学差异(P<0.05)。结论:采取循证护理能有效减少血透深静脉留置导管相关并发症的发生,提高了护理质量。

Objective： To investigate the efficacy of application of evidence-based nursing in deep vein catheterization as hemodialysis access patients to prevent related complications. Methods： A series of 45 deep vein catheterization as hemodialysis access patients enrolled in 2012were set as the routione nuring （RaN group）.Another 45 deep vein catheterization as hemodialysis access patients enrolled in 2013 were set as the evidence-based nursing group （EBN group）,With related complications assessed and then managed according to evidence-based nursing principles.Clinical outcomes were analyzed. Result： Hemorrhagic complications occurred in 3 patients in the RN group and 1 in the EBN group. In addition ,the ratio of infection, thrombus, catheter off and poor blood flow between the RN group and the EBN group was 12 to 6,7 to 5, 2 to 0 and 7 to 4 respectively. The incidence of complieations between these two groupswas statistically different （P〈0.05）. Conclusion： The application ofevidence-based nursing could effectively reduce the incidence of deep vein catheterization as hemodialysis access patients to prevent related complications, evidence-based nursing is helpful to improve the quality of nnrsing.