Clinical value of continuous nursing mode for leukemia discharged patient with PICC
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摘要:
目的 探讨延续护理模式对白血病经外周静脉置入中心静脉导管(PICC)带管出院患者对PICC维护认知水平、自我管理能力、并发症的影响。 方法 选取本院我科2016年1月1日~2018年5月1日收治的110例白血病PICC患者,根据随机数字表将患者分为观察组及对照组(各55例),对照组患者应用传统的PICC门诊护理模式,观察组患者采用延续护理模式,对比分析两组患者对PICC维护认知水平、自我管理能力、及并发症的发生率之间的差异。 结果 观察组对PICC维护认知水平与自我管理能力均高于对照组(P<0.05),而PICC并发症中静脉炎、感染、导管堵塞的发生率低于对照组(P<0.05)。 结论 延续护理模式可以提高患者对PICC维护认知水平、自我管理能力,降低PICC相关并发症的发生率。 -
关键词:
- 延续护理 /
- 白血病 /
- 外周静脉置入中心静脉导管
Abstract:Objective To explore the effect of continuous nursing mode on the maintenance of cognitive level, self-management ability and complications of PICC in patients with leukemia discharged through peripheral venous catheterization of central venous catheter (PICC). Methods A total of 110 cases of leukemia patients with PICC at our department were selected from January 1st 2016 to May 1st 2018. These patients were divided into observation group (n=55) and control group (n=55) according to random number table. The patients with PICC in control group were applied with traditional outpatient nursing mode, while observation group were applied with continuous nursing mode. The maintain cognitive level, self-management ability and the incidence of complications between two groupswere compared. Result The cognitive level and self-management ability of PICC maintenance were significantly higher in observation group than control group (P<0.05). The incidence of complications, phlebitis, infection and conduit jam of observation group was significantly lower than control group (P<0.05). Conclusion Continuous nursing mode can increase the maintenance of cognitive level, self-management ability of PICC in patients with leukemia discharged. It reduces the incidence rate of complications of PICC. -
Key words:
- continuous nursing /
- leukemia /
- peripherally inserted central catheter
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表 1 观察组和对照组带管出院后对PICC维护的认知水平比较(n=55,分,Mean±SD)
分组 日常护理相关知识 导管维护相关知识 并发症的识别 观察组 24.93±3.42 21.00±4.03 19.91±3.57 对照组 20.33±4.43 18.13±3.86 17.33±3.09 t 6.102 3.819 4.405 P <0.001 <0.001 <0.001 表 2 观察组和对照组对PICC带管出院后自我管理能力水平比较(分,Mean±SD)
分组 日常导管观察 维护依从性 导管管理信心 异常情况处理 信息获取 带管运动 带管日常活动 总分 观察组 4.38±0.62 4.22±0.81 4.27±0.65 4.16±0.66 4.25±0.70 4.09±0.75 4.38±0.62 29.76±3.70 对照组 3.65±0.89 3.78±0.83 3.64±0.89 3.87±0.84 3.67±0.84 3.64±0.91 3.44±0.83 25.69±4.36 t 4.977 2.788 4.281 2.019 3.947 2.855 6.736 5.285 P <0.001 0.006 <0.001 0.046 <0.001 0.005 <0.001 <0.001 表 3 观察组和对照组PICC带管出院后相关并发症发生率比较(n=55,%)
分组 静脉炎 感染 堵塞 脱出 过敏 观察组 2(3.64%) 1(1.82%) 3(5.45%) 2(3.64%) 3(5.45%) 对照组 11(20.00%) 7(12.73%) 11(20.00%) 5(9.09%) 8(14.55%) χ2 7.066 4.853 5.238 1.373 2.525 P 0.008 0.028 0.022 0.241 0.112 -
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