肿瘤患者实施循证护理对深静脉长期留置导管感染的预防效果

The Effect of Evidence-based Nursing on the Prevention of Long-term Indwelling Catheter Infection in Deep Vein of Tumor Patients

目的:观察肿瘤患者实施循证护理对深静脉长期留置导管感染的预防效果。方法:选取笔者所在医院(2017年10月-2019年10月)收治的长期留置深静脉导管肿瘤患者总计90例,随机数字法分成对照组(45例)与循证组(45例),其中对照组实施常规护理,循证组实施循证护理。对照两组感染及其他并发症发生率,患者对护理的满意度评分及生活质量评分。结果:循证组感染率为2.22%,其他并发症发生率为0,明显少于对照组的15.56%、13.33%(P<0.05),且循证组患者对护理的满意度评分明显高于对照组(P<0.05),干预后两组WHOQOL-BREF评分明显升高,其中循证组的WHOQOL-BREF各项评分明显高于对照组(P<0.01)。结论:在深静脉长期留置导管的肿瘤患者中,实施循证护理干预,可明显减少患者感染及其他并发症发生率,提高患者对护理的满意度评分,效果理想。

Objective:To observe the effect of evidence-based nursing on prevention of long-term indwelling catheter infection in deep vein.Method:A total of 90 tumor patients with long-term indwelling catheter of deep vein in our hospital (October 2017 to October 2019) were randomly divided into the control group (45 cases) and the evidence-based group (45 cases),in which the control group received routine nursing and the evidence-based group received evidence-based nursing.The incidence of infection and other complications,satisfaction score of nursing and quality of life score were compared between the two groups.Result:The infection rate of the evidence-based group was 2.22%,and the incidence of other complications was 0,which were significantly lower than those of the control group (15.56%,13.33%),there were significant differences in two groups (P<0.05),and the satisfaction score of the evidence-based group was significantly higher than that of the control group (P<0.05).After the intervention,the WHOQOL-BREF scores of the two groups were significantly higher,among which the WHOQOL-BREF scores of the evidence-based group were significantly higher than that of the control group (P<0.01).Conclusion:Evidence-based nursing intervention can significantly reduce the incidence of infection and other complications in patients with tumor who have long-term indwelling catheter in deep vein,improve the satisfaction score of patients with nursing,and the effect is ideal.