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目的:分析经外周放置中心静脉导管(PICC)带管患者维护期间并发症的发生原因,并探究集束化护理干预对PICC带管患者维护期的影响效果。方法:选取云浮市中医院在2015年12月至2016年12月收治的62例PICC带管患者进行研究,并为患者进行编号,根据编号将上述患者随机平均分为两组,每组均有31例患者。为对照组患者施用常规护理方法,为观察组患者施用集束化护理干预,比较两组患者在维护期间发生并发症的概率。结果:(1)观察组患者断管发生率为0.00%,对照组患者断管发生率6.45%;观察组患者血栓形成发生率为0.00%,对照组患者血栓形成发生率9.68%;观察组患者导管堵塞发生率为3.23%,对照组患者导管堵塞发生率12.90%,组间数据比较,差异具有统计学意义(P<0.05)。(2)两组患者维护期间发生的并发症主要为发热、皮肤炎性反应。观察组患者上述两种并发症发生率分别为3.23%、3.23%,而对照组患者两种并发症发生率分别为9.68%、12.90%,观察组并发症发生概率更低,两组数据相对比,差异具有统计学意义(P<0.05)。结论:在PICC带管患者维护期间,施用集束化护理干预措施效果明显优于常规护理效果,可以有效降低患者在维护期间并发症发生率,因此建议在临床中使用集束化护理干预。
OBJECTIVE: To analyze the causes of complications during the maintenance of PICCs with peripheral catheters and to explore the effect of intensive nursing interventions on the maintenance of PICC patients. Methods: Sixty-two patients with PICC who were treated in Yunfu Hospital of Traditional Chinese Medicine between December 2015 and December 2016 were selected and numbered. The patients were randomly divided into two groups according to the number, each group had 31 patients. Patients in the control group were given conventional nursing interventions, and cluster nursing interventions were performed in the observation group. The probability of complications during the maintenance period was compared between the two groups. Results: (1) The incidence of disconnection in the observation group was 0.00%, the incidence of disconnection in the control group was 6.45%. The incidence of thrombosis was 0.00% in the observation group and 9.68% in the control group. In the observation group The incidence of catheter blockage was 3.23%, while the incidence of catheter blockage in control group was 12.90%. There was statistically significant difference between the two groups (P <0.05). (2) The complications occurred during the maintenance of the two groups were mainly fever and skin inflammatory reaction. The incidence of the two complications in the observation group was 3.23% and 3.23% respectively, while the incidences of the two complications in the control group were 9.68% and 12.90% respectively, and the complication rates in the observation group were lower than those in the observation group , The difference was statistically significant (P <0.05). CONCLUSIONS: During the maintenance of PICC patients, cluster nursing interventions are significantly better than conventional nursing interventions, which can effectively reduce the incidence of complications during maintenance. Therefore, cluster nursing interventions are recommended in clinical practice.