摘要
目的探讨临床护理路径(CNP)在重症颅脑损伤患者经外周静脉穿刺中心静脉置管(PICC)相关并发症的预防效果。方法选取2016年1月~2017年12月期间在该科采用CNP管理的128例行PICC的重度颅脑损伤患者为观察组,另随机选取128例2015年1月~6月期间采用常规护理的重度颅脑损伤患者为对照组。比较两组患者的一次置管成功率、置管时间、PICC相关并发症与护理满意度。结果两组患者的一次置管成功率与置管时间比较,差异无统计学意义(P>0.05)。观察组的导管相关性血流感染(CRBSI)、导管堵塞、非计划性拔管的发生率显著低于对照组,差异有统计学意义(P<0.05);两组的穿刺部位的渗血、机械性静脉炎等发生率比较,差异无统计学意义(P>0.05)。观察组患者出院时的对护理工作的满意度显著优于对照组,差异有统计学意义(P<0.05)。结论CNP管理能显著降低重症颅脑损伤患者PICC相关并发症的发生率,提高患者的护理满意度。
Objective To explore the preventive effect of clinical nursing pathway (CNP) in patients with severe craniocerebral injury through peripheral venipuncture and central venous catheterization (PICC). Methods From January 2016 to December 2017, 128 patients with severe craniocerebral injury who received PICC under CNP management in the department were selected as the observation group, and 128 patients with severe craniocerebral injury who received routine care from January 2015 to June 2015 were randomly selected as the control group.The success rate, duration of catheterization, PICC-related complications and nursing satisfaction of patients in the two groups were compared. Results There was no significant difference between the success rate of one catheterization and the time of catheterization between the two groups (P>0.05). The incidence of catheter-related bloodstream infection (CRBSI), catheter blockage, and unplanned extubation in the observation group was significantly lower than that in the control group, and the difference was statistically significant (P<0.05). There was no significant difference in the incidence of bleeding and mechanical phlebitis between the two groups (P>0.05). The nursing satisfaction of the observation group was significantly better than that of the control group, and the difference was statistically significant (P<0.05). Conclusions CNP management can significantly reduce the incidence of PICC-related complications in patients with severe craniocerebral injury and improve the nursing satisfaction of patients.
作者
张丽霞
董兰
Zhang Lixia;Dong Lan(Emergency Department, Shanghai Changzheng Hospital Affiliated to the Second Military Medical University, Shanghai 200003, China)
出处
《国际护理学杂志》
2019年第20期3391-3395,共5页
international journal of nursing
关键词
临床护理路径
经外周静脉穿刺中心静脉置管
导管相关性血流感染
Clinical nursing pathway
Peripherally inserted central venous catheters
Catheter related blood stream infection
