风险管理结合个性化护理在中心静脉置管患者中的应用

Application of Risk Management Combined with Personalized Nursing in Patients Undergoing Central Venous Catheterization

目的:探讨风险管理结合个性化护理在中心静脉置管患者中的应用效果。方法:选取2022年5—12月上饶市立医院接受中心静脉置管的80例患者,随机分为研究组与对照组,各40例。对照组采取中心静脉置管风险管理,研究组采取风险管理结合个性化护理。比较两组的广泛性焦虑障碍量表(GAD-7)评分、抑郁症筛查量表(PHQ-9)评分、并发症、防控措施执行率。结果:研究组干预后的GAD-7评分、PHQ-9评分均低于对照组(P<0.05)。研究组的并发症发生率低于对照组(5.00%vs.20.00%)(P<0.05)。研究组置管维护执行率高于对照组(85.00%vs.65.00%)(P<0.05)。研究组与对照组置管操作执行率比较,差异无统计学意义(100%vs.92.50%)(P>0.05)。结论:风险管理结合个性化护理可以提高置管维护执行率,减少中心静脉置管并发症,缓解患者焦虑情绪。

Objective:To investigate the application effects of risk management combined with personalized nursing in patients undergoing central venous catheterization.Method:A total of 80 patients who underwent central venous catheterization in Shangrao Municipal Hospital from May to December 2022 were randomly divided into the study group and the control group,with 40 patients in each group.The control group received risk management for central venous catheterization,while the study group received risk management combined with personalized nursing.The 7-item generalized anxiety disorder questionnaire(GAD-7)scores,the patient health questionnaire-9(PHQ-9)scores,complications and implementation rate of prevention and control measures were compared between the two groups.Result:After intervention,the GAD-7 score and PHQ-9 score in the study group were lower than those in the control group (P<0.05). The incidence of complications in the study group was lower than that in the control group (5.00% vs. 20.00%) (P<0.05). The implementation rate of venipuncture maintenance in the study group was higher than that in the control group (85.00% vs. 65.00%) (P<0.05). There was no statistically significant difference in the implementation rate of venipuncture catheterization between the study group and the control group (100% vs. 92.50%) (P>0.05). Conclusion: Risk management combined with personalized nursing can improve the implementation rate of venipuncture maintenance, reduce complications of central venous catheterization and alleviate anxiety.