护理干预预防呼吸内科静脉留置针并发症的效果

Nursing Intervention to Prevent Complications of Intravenous Indwelling Needle in Respiratory Medicine

目的探讨护理干预预防呼吸内科静脉留置针并发症的效果。方法选取我院2018年6月至2018年12月收治的呼吸内科患者80例,随机分为对照组、观察组,各40例。对照组患者采用常规的医疗模式,观察组患者采用并发症护理干预。两组患者对护理人员的满意率,治疗过程中并发症发生率、留置针保持时间、一次穿刺成功率、套管移位、药液渗漏情况。比较两组患者对医护人员的满意率及护理效果。结果观察组呼吸内科患者并发症发生率2.50%明显高于对照组患者并发症发生率27.50%(P<0.05),观察组患者对医护人员的满意率97.50%明显高于对照组患者对医护人员的满意率72.50%(P<0.05)。观察组留置针保持时间、一次性穿刺成功率长于/高于对照组,套管移位、药液渗透率低于对照组,组间比较差异有统计学意义(P<0.05)。结论护理干预预防呼吸内科静脉留置针并发症的效果十分理想,降低呼吸内科患者并发症的发生率,提高患者对医护人员的满意率,减少套管移位及药液渗漏率,延长留置时间,针对呼吸内科采用静脉留置针的患者应用护理干预,临床上值得推广。

Objective To investigate the effect of nursing intervention on the prevention of venous indwelling needle complications in respiratory medicine.Methods 80 cases of respiratory patients admitted to our hospital from June 2018 to December 2018 were randomly divided into control group and observation group,with 40 cases in each.Patients in the control group were treated with conventional medical model,and patients in the observation group were treated with complication nursing intervention.The nursing effect and nursing satisfaction rate of the two groups were compared.The retention time of indwelling needles and the success rate of one-time puncture in the observation group were longer/higher than those in the control group,while the cannula displacement and the permeability of drug solution were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).Results The incidence of complications in the observation group was 2.50%higher than that in the control group by 27.50%(P<0.05),and the satisfaction rate of the observation group was 97.50%higher than that of the control group by 72.50%(P<0.05).Conclusion Nursing intervention in the prevention of the complications of respiratory medicine intravenous indwelling needle effect is ideal,reduce the incidence of complications in patients with respiratory medicine,raise the satisfaction of patients for medical staff,reduce casing shift and liquid leakage rate,extend the indwelling time,against respiratory medicine nursing intervention in patients with venous indwelling needle,worth clinical promotion.