延续护理服务对经外周静脉置入中心静脉导管置管患者的护理效果

Nursing effect of continuing nursing service on patients with central venous catheterization via peripheral vein

目的探讨延续护理服务对经外周静脉置入中心静脉导管(PICC)置管患者的护理效果。方法选择2017年1月~2018年10月我院收治的PICC置管400例患者作为研究对象,按照随机数字表法分成为对照组和研究组,每组各200例。对照组接受常规护理方法,研究组接受延续护理服务干预;比较两组导管相关并发症发生情况、非计划性拔管情况、护理总满意度及护理前后的WHOQOL-00评分。结果研究组并发症总发生率为2.00%,低于对照组的10.50%,差异有统计学意义(P<0.05);研究组护理总满意度为99.00%,高于对照组的91.50%,差异有统计学意义(P<0.05);两组护理前的生理健康、心理状态、独立能力、社会关系评分比较,差异无统计学意义(P>0.05);研究组护理后的生理健康、心理状态、独立能力、社会关系评分高于对照组,差异有统计学意义(P<0.05)。结论对PICC置管患者实施延续护理服务干预措施,可明显改善患者的生存质量,降低导管相关并发症发生率及非计划性拔管率,提高护理满意度,有较高的临床应用价值。

Objective To explore the nursing effect of continuous nursing service on patients with central venous catheter(PICC) implantation via peripheral vein. Methods All of 400 patients with PICC catheterization admitted from January 2017 to October 2018 were selected as the study subjects. They were divided into control group and research group according to random number table method, 200 cases in each group. The control group was received routine nursing methods, while the research group was received continuing nursing service intervention. The incidence of catheter-related complications, unplanned extubation, nursing total satisfaction and WHOQOL-00 score before and after nursing were compared between the two groups. Results The total incidence of complications in the study group was2.00%, lower than 10.50% in the control group, with statistical significance(P<0.05);the nursing satisfaction rate in the study group was 99.00%, higher than 91.50% in the control group, with statistical significance(P<0.05);there was no statistical difference in the physiological health score, psychological state score, independent ability score and social relationship score between the two groups before nursing(P>0.05);the physical health score, psychological state score,independent ability score and social relationship score of the study group after nursing were higher than those of the control group, the differences were statistically significant(P<0.05). Conclusions Continuing nursing interventions for patients with PICC catheterization can significantly improve the quality of life of patients and reduce catheter-related complications Incidence and unplanned rate, improve nursing satisfaction, it has higher clinical application value.