摘要
目的提高消化道肿瘤术后患者浅静脉留置针的护理质量。方法从手术当日开始，将200例留置浅静脉留置针的消化道肿瘤术后患者随机分成2组，对照组100例，按常规护理方法，实验组100例，采用循证护理方法。比较两组患者静脉炎、堵管、留置时间及患者满意度四个指标。结果对照组发生静脉炎50例、堵管40例、留管时间1～2天的70例3～5天的30例、患者满意度10％。实验组发生静脉炎5例、堵管2例、留管时间1～2天的10例3～5天的90例，患者满意度90％。均P〈0．01。结论循证护理方法能降低消化道肿瘤术后患者浅静脉留置针并发症，使消化道肿瘤术后患者静脉营养支持、各项治疗得以顺利完成，还能有助于危重患者的抢救，减少护士工作量。
Objective To improve the quality of care for patients with superficial vein indwelling needle after surgery for gastrointestinal tumors. Methods 200 patients with superficial vein indwelling needle after surgery for gastrointestinal tumors were randomly assigned to receive routine nursing care （ control group, 100 patients ）, or evidence-based nursing （ study group, 100 patients ）. The incidence rates of phlebitis and venous obstruction, time to placement of indwelling needle, and degrees of patient satisfaction were compared between the two groups. Results The incidence rates of phlebitis and venous obstruction were lower, time to placement of indwelling needle was longer, and degrees of patient satisfaction were higher in the study group than in the control group （ P 〈 0.01 for all comparisons ）. Conclusions Evidence- based nursing can reduce complications associated with superficial vein indwelling needle in patients under- going surgery for gastrointestinal tumors. It helps complete parenteral nutritional support and other therapies, save life of critically ill patients, and reduce workload in nurses.
出处
《国际医药卫生导报》
2012年第23期3502-3505,共4页
International Medicine and Health Guidance News
关键词
消化道肿瘤
浅静脉留置针
循证护理
Gastrointestinal tumor
Superficial vein in develling needl
Evidence-based nursing
