摘要
目的探讨集束化护理措施对ICU行预防性抗凝治疗的患者发生穿刺后局部淤血或血肿的预防效果。方法选取2016年3月-2016年8月入住呼吸科ICU的患者50例设为观察组,选取2015年9月-2016年2月入住呼吸科ICU的患者50例设为对照组,均给予预防性抗凝低分子肝素治疗,对照组采用常规护理措施,观察组采用集束化护理措施。结果观察组穿刺后淤血或血肿发生率为4.0%(2/50),低于对照组的18.0%(9/50),差异有统计学意义(P<0.05)。结论集束化护理可降低预防性抗凝患者穿刺处淤血或血肿的发生率,值得借鉴。
Objective To investigate the effect of bundled care in prevention of subcutaneous congestion and hematoma after venous puncture in patients undergoing preventive anticoagulation.Methods Totally 50 patients in ICU between September,2015 and February,2016 were recruited as the control group,with routine care during treatment of low-molecular-weight heparin anticoagulation.Another 50 patients in the ICU between March,2016 and August,2016 were included as the observation,with bundled care during treatment. Results The incidence of subcutaneous congestion and hematoma was 4.0%（2/50） in the observation group and was 18.0%（9/50）in the control group,with a significant difference（P〈0.05）. Conclusion Application of bundled care is potentially effective to reduce the risk of subcutaneous congestion and hematoma at puncture site in patients undergoing preventive anticoagulation.
出处
《中西医结合护理（中英文）》
2017年第6期140-141,共2页
Journal of Clinical Nursing in Practice
关键词
集束化护理
预防性抗凝治疗
淤血
血肿
静脉穿刺
bundled care
preventive anticoagulation
congestion
hematoma
venous puncture
