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集束化护理在重症患者输注血管活性药物中的应用

Application of cluster nursing in infusion of vasoactive drugs in severe patients
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摘要 目的:探讨集束化护理在预防重症患者输注血管活性药物致静脉炎中的效果。方法:选取2020年11月至2021年6月在本院重症医学科输注血管活性药物的120例患者,将2020年11月至2021年2月收治的60例患者设为对照组,采取输注血管活性药物常规护理;将2021年3月至2021年6月收治的60例患者设为研究组,研究组在对照组基础上联合使用集束化护理,比较两组患者输注血管活性药物方式变化和静脉炎发生情况。结果:研究组的中心静脉置管率为53.3%,高于对照组的35.0%;研究组患者的静脉炎发生率为3.3%,低于对照组的23.3%,以上差异均有统计学意义(P<0.05)。结论:实行集束化护理有利于为危重症患者选择合适的输注血管活性药物方式,同时改善患者静脉炎发生情况。 Objective:To explore the effect of cluster nursing in the prevention of phlebitis caused by infusion of vasoactive drugs in severe patients.Methods:120 patients who were infused with vasoactive drugs in the department of critical care medicine of our hospital from November 2020 to June 2021 were selected,and 60 patients who were admitted from November 2020 to February 2021 were set as the control group;60 patients admitted from March 2021 to June 2021 were set up as the study group.The study group was combined with cluster nursing on the basis of the control group.The changes of the mode of infusion of vasoactive drugs and the occurrence of phlebitis were compared between the two groups.Results:The central venous catheterization rate in the study group was 53.3%,which was higher than 35.0%in the control group;the incidence of phlebitis in the study group was 3.3%,lower than 23.3%in the control group,and the above differences were statistically significant(P<0.05).Conclusion:The implementation of cluster nursing is conducive to selecting the appropriate mode of infusion of vasoactive drugs for critically ill patients,and at the same time improving the incidence of phlebitis.
作者 汪徽 钱晓英 Wang Hui;Qian Xiaoying(Shexian People's Hospital, Huangshan Anhui, 245200, China)
机构地区 歙县人民医院
出处 《中外女性健康研究》 2022年第5期121-123,共3页 Women's Health Research
关键词 集束化护理 重症患者 血管活性药物 静脉炎 Cluster nursing Critically ill patients Vasoactive drugs Phlebitis
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