PICC导管在重型颅脑损伤患者中的应用及护理配合要点

Application of PICC Catheter in Patients With Severe Head Injury and Key Points of Nursing Cooperation

目的研究重型颅脑损伤患者应用PICC导管的护理配合要点。方法样本取自医院2019年4月—2020年8月收治的50例重型颅脑损伤患者,均应用PICC导管,采用“双盲法”分参照组(传统护理,n=25)、试验组(综合护理,n=25),两组生活质量、情绪状态、并发症发生率及置管成功率比较。结果护理前比较SF-36评分、情绪状态差异无统计学意义(P>0.05);护理后与参照组比较,试验组SF-36值更高,SAS、SDS值更低,试验组并发症发生率(8.00%)低于参照组(32.00%),试验组置管成功率(96.00%)高于参照组(72.00%),χ^(2)=4.500、5.357,差异有统计学意义(P<0.05)。结论综合护理用于重型颅脑损伤的PICC导管患者能提高护理效果,保证置管流程顺利进行,预防并发症,效果较理想。

Objective To study the main points of nursing cooperation for patients with severe head injury using PICC catheter.Methods Samples were taken from 50 patients with severe head injury admitted to our hospital between April 2019 and August 2020.All of them were treated with PICC catheters.The“double-blind method”was used to divide into reference group(traditional care,n=25),trial group(comprehensive nursing,n=25),comparison of quality of life,emotional state,complications rate and success rate of catheterization between the two groups.Results There was no statistically significant difference in SF-36 score and emotional state before nursing(P>0.05);after nursing,compared with the reference group,the SF-36 value of the experimental group was higher,the SAS and SDS values were lower,and the complication rate of the experimental group was(8.00%),lower than the reference group(32.00%),and the success rate of catheter placement in the test group(96.00%)was higher than that of the reference group(72.00%),χ^(2)=4.500,5.357,the difference was statistically significant(P<0.05).Conclusion Comprehensive nursing for PICC catheter patients with severe craniocerebral injury can improve the nursing effect,ensure the smooth progress of the catheterization process,and prevent complications.The effect is ideal.