Objective To analyze the implementation and application of nursing intervention in peripherally inserted central venous catheters (PICC) , and to explore the optimal mode of clinical nursing of PICC.Methods Eighty-six patients with PICCwere selected from February 2014 to August 2016 in our hospital.Then they were simply randomized into experimental group (n=43) and control group (n=43).Patients in the control group received routine nursing care, while the experimental group received nursing intervention.Their self-management ability and adverse events in nursing process were investigated and compared after nursing.Results After nursing, the scores of ability of routine catheter observation ability, maintenance compliance, self management confidence, handling capacity in abnormal catheter management case were significantly improved, and the score of experimental group was higher than that of the control group, which had significant difference (P<0.05);We compared the occurrence of adverse events of the two groups, it showed that patients with hemorrhage, venous thrombosis and catheter prolapse in experimental group accounted for less than those of the control group patients, which had significant difference (P<0.05);For the occurrence of puncture point swelling, phlebitis, catheter blockage and catheter exudates there was no significant difference between the two groups of patients (P>0.05).Conclusion Nursing intervention can effectively improve the self-care ability of patients with PICC and reduce adverse events.Therefore, it can be promoted in clinic, considering the effect of nursing intervention in the PICC is remarkable.%目的 分析护理干预在经外周静脉穿刺的中心静脉导管(PICC)置管中的实施与应用,探讨临床实际护理PICC置管的最优模式.方法 选取2014年2月至2016年8月我院收治的86例PICC置管患者,采用随机数字表法分为观察组43例和对照组43例.对照组患者采用常规护理,观察组患者采用护理干预.分析比较2组患者护理前后的自我管理能力和护理过程中患者的不良事件发生情况.结果 护理后,2组患者的日常导管观察能力评分、维护依从性评分、自我管理信心评分、导管异常管理情况处理能力评分均显著提高,观察组患者的各项评分高于对照组,差异有统计学意义(P<0.05);比较2组患者的不良事件发生情况,观察组患者发生穿刺点出血、静脉血栓、导管脱出、导管渗液的比例小于对照组,差异有统计学意义(P<0.05);2组患者发生穿刺点红肿、静脉炎、导管堵塞、导管渗液的比例比较差异无统计学意义(P>0.05).结论 护理干预能有效提高患者对PICC置管的自我护理管理能力,降低不良事件的发生.
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