中心静脉导管输液联合共情护理对艾滋病患者的护理效果观察

Nursing effect of central venous catheter combined with empathy nursing on AIDS patients

目的分析中心静脉导管(CVC)输液联合共情护理对艾滋病患者的护理效果。方法选择2014年6月至2016年6月在首都医科大学附属北京佑安医院住院输液的艾滋病患者129例次为对照组,选择2016年8月至2018年8月住院的艾滋病患者129例次为观察组。对照组给予普通输液留置针输液与常规的心理护理,观察组给予CVC输液联合共情护理的疗法。分析2组患者的临床护理效果。结果观察组的输液流畅率、血管损害率、护士穿刺伤率与职业暴露率分别为91.47%(118/129)、10.85%(14/129)、0、0,对照组分别为82.94%(107/129)、20.93%(27/129)、6.20%(8/129)、6.20%(8/129),2组比较差异有统计学意义(χ^2值为4.188~8.224,P<0.05或0.01)。干预3个月后,观察组的焦虑抑郁(焦虑自评量表/抑郁自评量表)评分分别为(47.87±5.43)、(45.02±5.61)分,明显低于对照组的(51.15±6.97)、(49.11±6.48)分,差异有统计学意义(t值为3.320、4.268,P<0.01)。干预3个月后,观察组的治疗依从率为92.24%(119/129),明显高于对照组的83.72%(108/129),差异有统计学意义(t值为4.419,P<0.05)。干预3个月后,观察组CD4+T淋巴细胞计数、人类免疫缺陷病毒载量分别为(378.25±49.04)个/μl、(2.86±0.53)igIU/ml,对照组分别为(342.17±43.47)个/μl、(3.13±0.66)igIU/ml,2组比较差异有统计学意义(t值为3.559、2.853,P<0.01)。结论CVC输液联合共情护理可以明显改善艾滋病患者的焦虑抑郁状况,提高治疗依从性与输液流畅率,降低血管损害率、相关感染率、护士穿刺伤率与职业暴露率,具有良好的护理效果。

Objective To analyze the nursing effect of central venous catheter(CVC)infusion combined with empathy nursing on AIDS patients.Methods A total of 129 AIDS patients who were hospitalized for infusion at Beijing You'an Hospital,Capital Medical University from June 2014 to June 2016 were selected as the control group.Another 129 AIDS patients from August 2016 to August 2018 were selected as the observation group.The control group was given ordinary infusion needle infusion and conventional psychological nursing,and the observation group was given CVC infusion combined with empathic nursing.The clinical nursing effect of the two groups of patients was analyzed.Results The infusion fluency rate,vascular damage rate,nurse puncture rate,and occupational exposure rate in the observation group were 91.47%(118/129),10.85%(14/129),0,0,and the control group was 82.94%(107/129),20.93%(27/129),6.20%(8/129),6.20%(8/129),the difference between the two groups was statistically significant(χ^2 values were 4.188-8.224,P<0.05 or 0.01).After 3 months of intervention,the anxiety and depression(Self-rating Anxiely Scale/Self-rating Depression Scale)scores of the observation group were 47.87±5.43 and 45.02±5.61,which were significantly lower than the control group,which were 51.15±6.97 and 49.11±6.48.The difference was statistically significant(t values were 3.320,4.268,P<0.01).After 3 months of intervention,the treatment compliance rate in the observation group was 92.24%(119/129),which was significantly higher than 83.72%(108/129)in the control group,and the difference was statistically significant(t value was 4.419,P<0.05).After 3 months of intervention,the CD4+T lymph count and HIV viral load in the observation group were(378.25±49.04)/μl,(2.86±0.53)igIU/ml,and the control group were(342.17±43.47)/μl,(3.13±0.66)igIU/ml,the improvement effect of the observation group was significantly better than that of the control group(t values were 3.559,2.853,P<0.01).Conclusion CVC infusion combined with empathic nursing can significantly improve the anxiety and depression of AIDS patients,improve treatment compliance and infusion fluency,reduce vascular damage rate,related infection rate,nurse puncture rate and occupational exposure rate,and good nursing effect.