摘要
目的探讨医护一体化模式下的开窗换药技术在改善经外周静脉穿刺置入中心静脉导管(PICC)穿刺点渗液,降低并发症中的应用效果,为临床PICC护理提供借鉴作用。方法收集2019年4月至6月安徽省内5所医院共18例PICC穿刺点并发渗液的患者,按照随机数字表法分为观察组10例和对照组8例。观察组在医护一体化小组协作下实施PICC开窗换药技术,对照组采用常规的纱布换药方法,定期随访。比较2组患者渗液转归时间、拔管发生率、患者长期随访依从性情况。结果观察组患者渗液转归时间明显优于对照组,差异有统计学意义(P<0.05);观察组患者拔管发生率低于对照组,差异有统计学意义(P<0.05);观察组患者长期随访依从性明显高于对照组,差异有统计学意义(P<0.05)。结论医护一体化的开窗换药技术能够满足患者的实际需求,避免传统纱布换药的不足,有效改善因各种原因导致的渗液,提高患者的依从性和满意度。
Objective To explore the effect of fenestration on improving PICC puncture point exudate and reducing complications,and to provide reference for clinical PICC nursing.Methods A total of 18 patients with exudate at the puncture point of PICC in 5 hospitals in Anhui Province from April 2019 to June 2019 were collected,which were divided into the observation group(10 cases)and the control group(8 cases)according to the random digital table method.The observation group implemented the PICC open-window dressing change technique under the cooperation of the medical and nursing integration group.The control group used the conventional gauze dressing change method.Following up regularly,the time of exudation transfer,the incidence of extubation and the long-term follow-up compliance of the patients were compared between the two groups.Results The time of exudation in the observation group was significantly better than that in the control group(P<0.05),the incidence of extubation in the observation group was lower than that in the control group(P<0.05),and the long-term follow-up compliance in the observation group was significantly higher than that in the control group(P<0.05).Conclusion The integrated fenestration technology can meet the actual needs of patients,avoid the deficiency of traditional gauze dressing change method,effectively improve the exudation treatment caused by various reasons,and improve the compliance and satisfaction of patients in follow-up.
作者
潘玉芹
胡玉洁
张娟
Pan Yuqin;Hu Yujie;Zhang Juan(Department of Medical Oncology,the First Affiliated Hospital of Anhui Medical University,Hefei230031,China)
出处
《山西医药杂志》
CAS
2020年第14期1786-1789,共4页
Shanxi Medical Journal
关键词
导管插入术
中心静脉
渗液
护理
医护一体化
Catheterization,central venous
Lymphodialysis
Nursing care
Medical care integration
