中长导管与静脉留置针对康复期脑卒中患者静脉输液并发症改善效果分析及满意度影响

Analysis of the improvement effect and satisfaction effect of medium and long catheter and intravenous indwelling on complications of intravenous infusion in stroke patients during rehabilitation

目的探讨中长导管与静脉留置针对康复期脑卒中患者静脉输液并发症改善效果分析及满意度影响。方法选取2019年8月至2020年6月于温州医科大学附属第二医院接受中短期静脉输液的100例康复期脑卒中患者作为研究对象,采用随机数字表法分为导管组与留置针组,每组50例。导管组采用中长导管进行静脉输液治疗干预,留置针组采用静脉留置针进行静脉输液治疗干预。比较两组患者干预后的穿刺次数、平均滞留时间、静脉输液并发症、疼痛评分、舒适度及满意度。结果干预后,导管组穿刺次数低于留置针组,平均滞留时间高于留置针组,差异有统计学意义(P<0.05)。干预后,导管组静脉输液并发症发生率(6.00%)低于留置针组(32.00%),差异有统计学意义(P<0.05)。干预后,导管组疼痛发生率(36.00%)低于留置针组(96.00%),差异有统计学意义(P<0.05)。干预后,导管组舒适度各项评分均高于留置针组,差异有统计学意义(P<0.05)。干预后,导管组满意度(82.00%)高于留置针组(62.00%),差异有统计学意义(P<0.05)。结论中长导管在康复期脑卒中患者治疗过程中,可减少静脉输液并发症发生率,降低静脉输液疼痛,提升患者舒适度及满意度。

Objective To investigate the effect of medium and long catheterization and intravenous indwelling on the improvement of complications of intravenous infusion in convalescent stroke patients and the influence of satisfaction.Methods A total of 100 convalescent stroke patients who needed to receive short and medium term intravenous infusion in the Second Affiliated Hospital of Wenzhou Medical University from August 2019 to June 2020 were selected as the study objects,and were divided into catheter group and indentation needle group of 50 patients in each group.In the catheter group,medium and long catheters were used for intravenous infusion therapy.The indentation needle group was treated with intravenous infusion therapy.The puncture times,mean retention time,complications of intravenous infusion,pain,comfort and satisfaction were compared between two groups after intervention.Results After intervention,the puncture times of catheter group were lower than that of indentation needle group,and the average retention time was higher than that of indentation needle group,the difference was statistically significant(P<0.05).After intervention,the complication rate of intravenous infusion in catheter group was 6.00%lower than that in indignant needle group 32.00%,and the difference was statistically significant(P<0.05).After intervention,the incidence of pain in catheter group was 36.00%lower than that in indentation needle group 96.00%,and the difference was statistically significant(P<0.05).After intervention,the comfort scores of the catheter group were higher than those of the indentation needle group,and the difference was statistically significant.After intervention,the satisfaction of catheter group was 82.00%higher than that of indentation needle group 62.00%,and the difference was statistically significant(P<0.05).Conclusion In the treatment of stroke patients indentation needle group,the medium and long catheter can reduce the incidence of complications of intravenous infusion,reduce the pain of intravenous infusion,improve the comfort and satisfaction,and have clinical popularization value.