摘要
目的探讨置管对侧偏头法对PICC患者导管异位和舒适度的影响。方法采用便利抽样法,选择2018年1月至2019年12月长治市人民医院肝胆外科需留置PICC的住院患者作为研究对象。2018年1—12月收治的患者作为对照组,2019年1—12月收治的患者作为试验组,每组174例。对照组采用传统偏头法送管,试验组采用置管对侧偏头法送管。比较2组患者一次性送管成功率、导管异位发生率、并发症发生率及置管时舒适度。结果试验组一次性送管成功率、导管异位发生率分别为97.1%(169/174)、1.2%(2/174),对照组分别为91.4%(159/174)、7.5%(13/174),差异有统计学意义(χ^(2)=5.30、8.43,均P<0.05)。生存曲线分析显示,试验组导管相关性血栓、导管相关性血流感染发生率均明显低于对照组,差异有统计学意义(χ^(2)=15.23、8.76,均P<0.05)。试验组置管时舒适度问卷评分为(15.00±2.19)分,明显低于对照组的(16.86±1.88)分,差异有统计学意义(t=8.49,P<0.05)。结论采用置管对侧偏头法,可提高一次性送管成功率,降低导管异位发生率,并减少置管过程中患者的不适感。
Objective To investigate the effects of turning head to the opposite insertion side on catheter heterotopia and degree of comfort among PICC catheter patients.Methods The inpatients with PICC catheter in Hepatological Surgery of Changzhi People′s Hospital from January 2018 to December 2019 were collected as research object,patients from January to December 2018 was assignment to the control group,patients from January to December 2018 was assignment to the experimental group,with 174 cases in each group.They were catheterized with turning head to the opposite insertion side and turning head to the PICC insertion side,respectively.The incidence of catheter heterotopia,complications as well as degree of comfort during the placement of PICC were compared between the two groups.Results The successful cases of one-time delivery tube and occurred catheter heterotopia were 97.1%(169/174)and 1.2%(2/174)in the experimental group,the index mentioned above were 91.4%(159/174)and 7.5%(13/174)in the control group,the differences between the two groups were statistically significant(χ^(2)=5.30,8.43,both P<0.05).The results from survival curve analysis demonstrated that the occurred of catheter-related venous thrombosis and catheter-related bloodstream infections were significantly lower in the experimental group compared to the control group(χ^(2)=15.23,8.76,both P<0.05).The score of comfort during the placement of PICC was(15.00±2.19)in the experimental group,which was significantly lower than(16.86±1.88)points in the control group(t=8.49,P<0.05).Conclusions Adopting turning head to the opposite insertion side method can improve the success rate of one-time delivery tube,reduce the incidence of catheter heterotopia and reduce the discomfort of patients during PICC catheterization.
作者
宋敏
王秀丽
高大雁
郭海燕
李芳芳
李兰兰
Song Min;Wang Xiuli;Gao Dayan;Guo Haiyan;Li Fangfang;Li Lanlan(Department of Hepatological Surgery,Changzhi People′s Hospital,Changzhi 046000,China)
出处
《中国实用护理杂志》
2022年第14期1069-1074,共6页
Chinese Journal of Practical Nursing
关键词
中心静脉置管
偏头法
导管异位
舒适度
Central vein catheterization
Turning head method
Catheter heterotopia
Degree of comfort
