系統化干預護理在血液內科PICC帶管出院患者中的預后效果評價

李蓮

[摘要] 目的 評價系統化干預護理在血液內科PICC（peripherally inserted central catheter，經外周靜脈置入中心靜脈導管）帶管出院患者中的應用效果。 方法 在2017年12月～2019年5月抽取本院血液內科收治的78例PICC帶管出院患者作為研究對象，回顧所有病例臨床資料，根據不同的護理措施將其分為對照組、觀察組。對照組（39例）用常規護理，基于此，觀察組（39例）用系統化干預護理，對比兩組患者出院后依從性、并發癥發生率、自我護理能力評分、患者滿意度。 結果 患者出院后依從性、自我護理能力評分、患者滿意度與對照組相比，觀察組較高，差異有統計學意義（P<0.05）;觀察組并發癥發生率較低，差異有統計學意義（P<0.05）。 結論 在血液內科PICC帶管出院患者護理中，配合科學的系統化干預護理，既可提高患者自我護理能力與出院后依從性，還可減少并發癥發生率、提高護理滿意度，值得臨床推廣應用。

[關鍵詞] 系統化干預護理;血液內科;PICC帶管;出院患者;出院后依從性;并發癥發生率;自我護理能力評分

[中圖分類號] R473 ? ? ? ? ?[文獻標識碼] B ? ? ? ? ?[文章編號] 1673-9701（2020）12-0172-03

[Abstract] Objective To evaluate the application effect of systematic intervention nursing on the patients discharged with PICC（peripherally inserted central catheter） from the department of hematology. Methods Seventy-eight patients treated and discharged from the department of hematology in our hospital from December 2017 to May 2019 were enrolled in the study. The clinical data of all the patients were reviewed and the patients were divided into the control group and the observation group according to different nursing measures. The control group（39 patients） was given conventional nursing， on the basis of which the observation group（39 patients） was given systematic intervention nursing. The post-discharge compliance， complication rate， self-care ability score and patient satisfaction were compared between the two groups. Results The post-discharge compliance， self-care ability score and patient satisfaction in the observation group were higher than those in the control group， with statistically significant differences（P<0.05）. The complication rate in the observation group was lower than that in the control group，with statistically significant difference（P<0.05）. Conclusion In the nursing of patients discharged with PICC from the department of hematology， the combined application of scientific systematic intervention nursing can improve the patient's self-care ability and post-discharge compliance， reduce the complication rate and improve the satisfaction of nursing， thereby worthy of clinical promotion.?

[Key words] Systematic intervention nursing; Hematology; With PICC; Discharged patients; Post-discharge compliance; Complication rate; Self-care ability score

經外周靜脈置入中心靜脈導管（peripherally inserted central catheter，PICC）即為外周中心靜脈置管技術，其在血液惡性腫瘤治療上，屬于最常用的臨床穿刺手段，其可以在患者體內長期留置，以此來有效減少對靜脈反復穿刺引起的痛苦[1，2]。臨床實踐表明，PICC具有穿刺成功率高、操作簡單等優點，可提供長時間的靜脈輸液通道[3]。但對于PICC帶管出院患者來講，由于其對PICC的認識度不佳，易使患者忽略對PICC側肢體位功能的訓練及日常導管護理，從而延長PICC患者置管時間，增加并發癥，對患者治療與預后產生嚴重影響[4，5]。……