摘要
目的 探究分析集束化护理干预在预防血液透析患者中心静脉导管非计划性拔管中的应用。方法 时间:2023年1月至2024年1月,对象:血液透析患者共102例,分组:随机分为对照组与观察组,对照组采用常规护理,观察组采用集束化护理,对比两组的中心静脉导管非计划性拔管发生率以及生活质量。结果 观察组优于对照组,P<0.05。结论 集束化护理可显著改善患者中心静脉导管非计划性拔管发生率以及生活质量,值得推广与应用。
关键词: 血液透析;中心静脉导管;集束化护理;非计划性拔管发生率;生活质量
Abstract
Objective To explore and analyze the application of cluster nursing intervention in preventing unplanned central venous catheter extubation in hemodialysis patients. Methods From January 2023 to January 2024, a total of 102 patients with hemodialysis were randomly divided into control group and observation group. The control group received routine care and the observation group received cluster care. The incidence of unplanned central venous catheter extubation and quality of life of the two groups were compared. Results The observation group was superior to the control group (P < 0.05). Conclusion Cluster nursing can significantly improve the incidence of unplanned central venous catheter extubation and the quality of life of patients, which is worthy of promotion and application.
Key words: Hemodialysis; Central venous catheter; Cluster care; Incidence of unplanned extubation; Quality of life
参考文献 References
[1] 鄢茵,管细红,童华章,等.基于护理风险管理理论的康复科鼻饲患者非计划性拔管风险评估指标体系构建[J].护士进修杂志,2024,39(06):588-593.
[2] 谢晓娜,陈瑞燕,吴春芳.维持性血液透析患者血管通路集束化护理效果观察[J].智慧健康,2022,8(29):187-190.
[3] 蔡明明. 留置临时透析导管病人非计划性拔管风险预测模型的构建与验证[D].湖南中医药大学,2023.
[4] 陈银凤. 生理盐水棉球在血液透析用中心静脉置管换药中应用的效果探讨[J]. 中国民康医学,2012,24(23): 2940 -2941.
[5] 王童语,李旭英,袁忠,等.肿瘤患者PICC非计划性拔管风险评估指标体系的构建[J].中国护理管理,2023,23(11): 1632-1636.
[6] 刘洋,丁倩,全爽,等.基于管道风险评估的缩减约束对食管癌术后胃肠减压患者非计划性拔管及局部皮肤损伤的影响[J].食管疾病,2023,5(03):189-191+204.
[7] 蔡明明,吴传芳,廖倩,等.留置无隧道和涤纶套的透析导管病人非计划性拔管特征及其影响因素分析[J].护理研究, 2021,35(08):1372-1377.
[8] 吴春芳,陈瑞燕,谢晓娜.集束化护理结合健康教育对非计划性拔管及导管相关性感染的预防性作用及患者自我管理能力的影响分析[J].医学食疗与健康,2023,21(16): 117-119.