正压输液接头运用联合集束化护理干预在重症患者有创血压监测中的效果及安全性评价

The Effect and Safety Evaluation of Positive Pressure Infusion Joints Combined With Cluster Nursing Intervention in Invasive Blood Pressure Monitoring of Severe Patients

目的联合正压输液接头和集束化护理干预,观察重症患者有创血压监测中的效果和安全性。方法纳入本院2019年1月—2020年5月的重症医学科治疗并进行有创血压监测的重症患者共85例,依据患者的入院顺序采用随机数字表法将85例患者分为对照组42例和观察组43例,两组患者均采用集束化护理,对照组未采用正压输液接头,观察组采用正压输液接头。比较两组患者动脉导管留置时间和并发症的发生率,以及两组患者的焦虑得分和社会支持得分。结果观察组导管留置时间较对照组延长,并发症发生率低于对照组,差异均有统计学意义(P<0.05)。观察组焦虑得分较对照组低(P<0.05);社会支持得分较对照组高(P<0.05)。结论正压输液接头运用联合集束化护理干预在重症患者有创血压监测中可有效改善动脉导管留置时间,降低并发症发生率,改善患者的焦虑情况,提高患者社会支持度。

Objective To observe the effect and safety of combined positive pressure infusion connector and cluster nursing intervention in invasive blood pressure monitoring of severe patients.Methods A total of 85 critically ill patients were included in our hospital from January 2019 to May 2020 and treated with invasive blood pressure monitoring.The 85 patients were divided into 42 cases in the control group and 43 cases in the observation group according to the random number.With cluster nursing intervention,the control group did not use a positive pressure infusion connector,and the observation group used a positive pressure infusion connector.The indwelling time of arterial catheter and the incidence of complications were compared between the two groups;and the anxiety score and social support score of the two groups were compared.Results The catheter indwelling time of the observation group was longer than that of the control group,the incidence of complications was lower than that of the control group,and the difference was statistically significant(P<0.05).The anxiety score of the observation group was lower than that of the control group(P<0.05);the social support score was higher than that of the control group(P<0.05).Conclusion The use of positive pressure infusion connector combined with cluster nursing intervention can effectively improve the indwelling time of arterial catheter in invasive blood pressure monitoring of severe patients,reduce the incidence of complications,improve the anxiety of patients,and increase the social support of patients.