舒适护理对锁骨下静脉置管患者的影响

The Impact of Subclavain Vein Catheterization on Comfort Degree of Cancer Patients

目的通过个体化护理措施提高肿瘤患者留置锁骨下静脉置管的舒适度。方法将我科室2013年1月-2014年12月间住院为行化疗而留置锁骨下静脉置管的患者100例,按照随机的方法分为对照组和实验组,每组50例,并对其进行系统化护理干预,从而评价患者舒适度。结果对两组患者在锁骨下静脉置管后24小时和置管后一周的舒适度进行比较。表明经过给予护理干预后,实验组患者在置管后24小时舒适度与对照组无差别(P>0.05)。置管后一周,实验组舒适度与对照组相比较有显著性差异(P<0.05),舒适度明显高于对照组。结论一套有效的系统护理措施可以明显提高留置锁骨下静脉置管的肿瘤化疗患者的舒适度。

Objective Through individualized nursing interventions to improve cancer patient comfort indwelling catheterization of the subclavian vein. Methods 100 cases with cancer patients （subject to chemotherapy） with Subclavain vein catheterization from Jan. 2013 to Dec. 2014 are randomly separated in to 2 groups （n = 50, each）. A system nursing procedure aimed at comfort degree of patients with Subclavain vein catheterization intubation was performed in the experim ental group, a traditional nursing procedure was carried out in the contrast group. We evaluated two groups of patients ＇ comfort degree. Results Two groups of patients after subclavian venous catheters and catheter after 24 hours a week compared to the comfort. Indicates that after giving care intervention, patients in 24 hours after catheterization comfort no differences with the control group（P〉0.05）.One week after catheterization, comfort in the experimental group compared with the control group were significantly different （P〈0.05）, comfort, significantly higher than the control group. Conclusion A system nursing procedure aimed at comfort degree of patients with Subclavain vein catheterization is benefit to patients of breast cancer.