摘要
目的探讨标准化管理模式应用于肿瘤化疗患者静脉维护的实施与效果。方法将武警总医院外三病区2008年9月~2010年3月收治的158例化疗患者与2010年4月~2011年9月收治的162例患者进行比较,前者为对照组,后者为实验组,把标准化管理应用于实验组患者的静脉维护,包括化疗前进行健康教育,对患者上肢前臂血管及穿刺工具进行全面评估,制定输液计划,化疗中加强穿刺部位的观察,静脉穿刺肢体适当保暖,化疗全程应用喜疗妥保护皮肤。结果对照组化疗4~12次,平均8次,发生静脉炎18例,静脉渗漏6例,静脉炎发生率为11.39%;实验组化疗3~13次,平均8次,发生静脉炎3例,静脉渗漏2例,静脉炎发生率为1.85%,经及时处理,无局部组织损伤。结论标准化管理应用于肿瘤患者化疗的静脉维护,利于减少静脉炎及漏液的发生,同时有效提高了护理人员工作效率及工作效果。
Objective To explore the application and effect of standardized management in venous maintenance of patients with cancer chemotherapy. Methods A total of 158 patients who received chemotherapy from September 2008 to March 2010 in our hospital were selected as control group, and another 162 patients who received chemotherapy from April 2010 to September 2011 were selected as experiment group. Standardized management was applied to venous maintenance in the experiment group, including health education before chemotherapy, comprehensive assessment of the patients＇ vessels and puncture tools, formulation of infusion plan, observation of puncture po- sition in operation, temperature maintenance of venepuncture area and protection of skin with hiru- doid. Results The frequency of chemotherapy in the control group was 4 to 12 times with an aver- age of 8. There were 18 cases of phlebitis and 6 cases of venous exosmosis. The incidence rate of phlebitis was 11.39%. The frequency of chemotherapy in the experiment group was 3 to 13 times with an average of 8. There were 3 cases of phlebitis and 2 cases of venous exosmosis. The incidence rate of phlebitis was 1.85 %. No local damage was observed after seasonable treatment. Conclusion Application of standardized management in venous maintenance of patients with cancer chemotherapy can reduce incidences of phlebitis and venous exosmosis and improve the efficiency and effect of the nursing staff.
出处
《实用临床医药杂志》
CAS
2012年第16期23-25,共3页
Journal of Clinical Medicine in Practice
关键词
标准化管理
肿瘤
化疗
静脉维护
standardized management
cancer
chemotherapy
venous maintenance
