集束化护理预防胺碘酮致静脉炎的应用

Application of Cluster Nursing in Prevention of Phlebitis Caused by Amiodarone

目的分析浅静脉注射盐酸胺碘酮致静脉炎的原因,探讨集束化护理在预防胺碘酮所致浅静脉炎中的效果。方法选取2017年1月～6月入住我院接受胺碘酮注射液治疗的患者30例为对照组,实施常规护理,2017年7月～12月入住我院接受胺碘酮注射液治疗的患者30例为观察组,实施集束化护理策略,比较两组患者行护理干预后静脉炎的发生率。结果观察组与对照组静脉炎的发生率分别为16.7%、70.0%,观察组下降了53.3%,两组比较差异有统计学意义(P<0.05)。结论盐酸胺碘酮所致浅静脉炎药物为主要因素,输注过程中积极采取有效的护理措施对胺碘酮所致浅静脉炎的预防控制有极为重要的作用。

Objective To analyze the causes of phlebitis caused by amiodarone hydrochloride and to explore the effect of cluster nursing in prevention of superficial phlebitis caused by amiodarone. Methods 30 patients who received amiodarone injection in our hospital from January to June 2017 were selected as control group and 30 patients admitted to our hospital from July to December 2017 as observation group. The incidence of phlebitis after nursing intervention was compared between the two groups. Results The incidence of phlebitis in the observation group and the control group was 16.7% and 70.0%, respectively, while in the observation group there was a decrease of 53.3%. The difference between the two groups was statistically significant (P<0.05). Conclusion The drug of amiodarone induced superficial phlebitis is the main factor. It is very important for the prevention and control of superficial phlebitis caused by amiodarone if effective nursing measures are taken in the course of infusion.