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循证护理对延长血透患者中心静脉置管时间的影响 被引量:12

Follows card nursing to lengthen the blood to pass the patient center vein to set at tube time influence
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摘要 目的:探讨循证护理对长期留置深静脉导管的血透病人在心理变化及预防导管并发症,延长导管留置时间,改善生活质量方面的影响.方法:将我科2007年8月至2010年4月的留置深静脉导管的血透病人125例,随机分为观察组和对照组.观察组实施循证护理,对照组采用常规护理,比较两组病人的心理接受程度及导管并发症的发生率.结果:观察组的心理接受程度明显高于对照组,导管所致并发症的发生率低于对照组.两组比较差异均有统计学意义(P〈0.05).结论:长期留置深静脉导管的血透病人在进行循证护理的干预后,心理能够坦然接受深静脉导管的留置,并且留置深静脉导管的时间延长,免去了病人血透穿刺之苦,大大提高了病人的生活质量.同时,对护理人员如何进行有质量的循证护理能力提出要求,激励护理人员不断地学习,拓展自身的业务知识. Objective:Discusses follows card nursing to leave alone the deep ductus venosus the blood to pass the patient for a long time in the psychological change and the prevention drive pipe complication, lengthens the drive pipe leaving alone time, the improvement quality of life aspect influence. Methods: From August, 2007 passes my branch to April, 2010 leaving alone deep ductus venosus blood the patient 125 examples,divides into the obsei'vation group and the control group stochastically. The observation group implements follows card nursing,the control group uses conventional nursing,compared with two group of patient's psychology receptivities and drive pipe complication formation rate. Results: Observation group's psychology receptivity is higher than the control group obviously,the drive pipe result complication formation rate is lower than the control group. Two group of comparison d;,fferenees have statistics significance (P〈0.05). Conclusion: Leaves alone the deep duetus venosus the blood to pass the pstient for a long time after to carry on follows card nursing the intervention,the psychology can accept the deep ductus venosus confidently leaving alone, and leaves alone the deep ductus venosus the time extension, exempted the patient blood to pass pain of the puncture,improved patient's quality of life greatly. At the same time,how carries on to the nursing staff has the quality to follow the card nursing ability to set the request,drove the nursing staff studies unceasingly,develops own professional knowledge.
出处 《按摩与康复医学》 2010年第30期8-9,共2页 Chinese Manipulation and Rehabilitation Medicine
关键词 循证护理 维持性血液透析患者 深静脉导管并发症 心理接受程度 Follows the card nursing Maintenance hemodialysis patient Deep ductus venosus complication Psychology receptivity
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