留置针与改良中长导管在危重脑卒中患者中的护理效果

Effectiveness of indwelling needle versus modified medium-length catheter in the care of critically ill stroke patients

目的观察危重脑卒中患者应用留置针与改良中长导管的临床效果,总结相关护理经验。方法选取2019年11月至2020年4月鄂东医疗集团黄石市中心医院收治的危重脑卒中患者240例作为研究对象,其中2019年11月至2020年1月进行治疗的120例患者作为对照组,采用留置针进行穿刺置管,另外2020年2月至2020年4月进行治疗的120例患者作为观察组,采用改良中等长度导管置管,对比两组输液工具下危重脑卒中患者的留置时间、穿刺次数、患者费用、并发症的发生情况及护理满意度。结果两组患者的观察指标显示,观察组患者的平均留置天数远远多于对照组,观察组患者的总穿刺次数明显少于对照组,而平均输液工具费用相比,观察组的总费用比对照组要高,差异均有统计学意义(P<0.05);并发症发生情况相比,观察组患者的静脉炎和导管堵塞发生率低于对照组,差异具有统计学意义(P<0.05);两组患者的穿刺点渗液和局部感染情况比较,差异无统计学意义(P>0.05);护理满意度显示,观察组的总满意度95.83%显著优于对照组81.67%,差异具有统计学意义(P<0.05)。结论危重脑卒中患者采用改良中等长度导管置管进行输液不仅能够延长留置时间,减少穿刺次数,减少穿刺费用,同时也大大降低了患者发生静脉炎的概率,有助于提高患者的护理满意度,值得临床推广。

Objective To observe the clinical effect of applying indwelling needle with modified mediumlength catheter in critically ill stroke patients and to summarize the related nursing experience.MethodsA total of240 patients with critical stroke admitted to this hospital from November 2019 to April 2020 were selected for the study,of which 120 patients treated from November 2019 to January 2020 were used as the control group for puncture placement with indwelling needles,and another 120 patients treated from February 2020 to April 2020 were used as the observation group for placement with modified medium-length catheters to compare the retention time,numbers of puncture,patient costs,occurrence of complications and nursing satisfaction of patients with critical stroke under infusion tools in both groups.Results The mean number of days of retention was much higher in the observation group than in the control group,and the total number of puncture was significantly less in the observation group than in the control group,while the mean cost of infusion tool was higher in the observation group than in the control group,and the differences were all statistically significant(P<0.05);compared with the occurrence of complications,the incidence of phlebitis and catheter occlusion of observation group were lower than that of the control group,and the difference was statistically significant(P<0.05);the difference was not statistically significant when comparing the oozing and local infection at the puncture site of the two groups(P>0.05);nursing satisfaction showed that the total satisfaction rate of the observation group was 95.83%significantly better than that of the control group 81.67%,and the difference was statistically significant(P<O.05).ConclusionsThe use of modified medium-length catheter placement for infusion in critically ill stroke patients not only prolongs retention time,reduces the number of puncture and puncture costs,but also greatly reduces the probability of phlebitis in patients and helps improve patient care satisfaction,which is worthy of clinical promotion.