风险预警干预在预防PICC相关静脉炎的应用观察

Application of Risk Early Warning Intervention in the Prevention of Occurrence of PICC-Associated Phlebitis

目的探究风险预警干预在预防经外周静脉穿刺置入中心静脉导管(PICC)相关静脉炎发生中的应用观察。方法选取2019年6月至2022年3月期间信阳市中心医院收治的96例需要进行PICC置管的患者,将患者随机分为观察组(n=48)和对照组(n=48),对照组采取常规PICC护理措施,观察组采取风险预警干预。比较两组患者静脉炎发生情况及严重程度、患者依从性、并发症发生率。结果观察组患者静脉炎发生率比对照组低,差异有统计学意义(P<0.05);观察组患者轻度疼痛占比高于对照组,重度疼痛占比低于对照组,差异具有统计学意义(P<0.05);观察组患者依从性优于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率显著低于对照组,差异有统计学意义(P<0.05)。结论应用风险预警干预可有效预防PICC相关静脉炎发生情况,有效提高患者依从性,缓解疼痛,同时减少置管后感染、导管堵塞等并发症发生情况,有利于后续治疗顺利开展。

Objective To explore the application of risk early warning intervention in preventing the occurrence of peripherally inserted central catheter(PICC)-associated phlebitis.Methods A total of 96 patients who needed PICC in Xinyang Central Hospital from June 2019 to March 2022 were selected and randomLy divided into observation group(n=48)and control group(n=48).The control group was given routine PICC nursing measures,and the observation group was given risk early warning intervention.The occurrence and severity of phlebitis,patient compliance and incidence of complications were compared between the two groups.Results The incidence of phlebitis in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The proportion of mild pain in the observation group was higher than that in the control group,and the proportion of severe pain was lower than that in the control group,and the differences were statistically significant(P<0.05).The compliance of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of risk early warning intervention can effectively prevent the occurrence of PICC-associated phlebitis,effectively enhance the patient compliance,relieve the pain,and reduce the occurrence of complications such as infection and catheter blockage after catheterization.In addition,it is conducive to the smooth development of subsequent treatment.