摘要
目的观察多学科整合护理模式在静脉治疗实践中的应用效果。方法选择162例肿瘤科患者作为研究对象,随机分为观察组(n=83)和对照组(n=79)。对照组给予常规护理,观察组在对照组基础上给予以专科护士为主导的多学科整合护理模式。比较2组患者静脉输液治疗并发症发生率,输液工具选择及使用规范性,以及患者满意度。结果对照组共有12例发生并发症,发生率为15.19%;观察组有2例发生并发症,发生率2.41%;观察组并发症发生率低于对照组,差异有统计学意义(P<0.01)。输液工具选择比较,对照组不规范15例(其中头皮针选择不规范5例,留置针选择不规范10例),观察组不规范2例(留置针选择不规范);输液工具使用规范性比较,对照组不规范18例(其中穿刺部位的选择5例、导管消毒维护5例、敷贴固定问题4例、冲封管问题3例、胶带使用1例),观察组不规范4例(其中穿刺部位的选择1例、敷贴固定问题1例、冲封管问题1例、导管消毒维护1例);2组输液工具选择和使用规范性比较,差异有统计学意义(P<0.01)。观察组患者满意度评分为(96.88±2.51)分,高于对照组的(92.28±7.39)分,差异有统计学意义(P<0.01)。结论多学科整合护理模式有助于预防和治疗静脉治疗并发症,可提高患者满意度,保证静脉治疗的护理质量。
Objective To observe the application effect of multidisciplinary integrated nursing model in the practice of intravenous therapy.Methods A total of 162 cancer patients were selected as the research objects,and they were randomly divided into observation group(n=79)and control group(n=83).The control group was treated with routine nursing,while the observation group was treated with multidisciplinary integrated nursing model led by specialized nurses on the basis of the control group.The incidence of complications associated with intravenous infusion therapy,the selection and standardization of the usage of infusion tools as well as the patient′s satisfaction degree were compared between the two groups.Results There were 12 cases with complications in the control group,with an incidence rate of 15.19%;there were 2 cases with complications in the observation group,with an incidence rate of 2.41%;the incidence rate of complications in the observation group was significantly lower than that in the control group(P<0.01).In selection of infusion tools,there were 15 cases with non-standard selection in the control group(including 5 cases with non-standard selection of scalp needle and 10 cases with non-standard selection of indwelling needle)and 2 cases with non-standard selection in the observation group(non-standard selection of indwelling needle);in standardized use of infusion tools,there were 18 cases with non-standard use in the control group(including 5 cases of puncture site selection,5 cases of catheter disinfection and maintenance,4 cases of applicationand fixation problems,3 cases of flushing and sealing tube problems,and 1 case of tape use)and 4 cases with non-standard use in the observation group(including 1 case of puncture site selection,1 case of application and fixation problem,1 case of flushing and sealing tube problem,and 1 case of catheter disinfection and maintenance);there were significant differences in the selection and standardized use of infusiontools between the two groups(P<0.01).The score
作者
薛娟
陈淑琴
荆文慧
沈丽丽
殷玉心
荆洁
XUE Juan;CHEN Shuqin;JING Wenhui;SHEN Lili;YIN Yuxin;JING Jie(Department of Nursing,the 971st Hospital of the Navy of the Chinese People′s Liberation Army,Qingdao,Shandong,266071;Department of Urinary Surgery,the 971st Hospital of the Navy of the Chinese People′s Liberation Army,Qingdao,Shandong,266071;Department of Neurosurgery,the 971st Hospital of the Navy of the Chinese People′s Liberation Army,Qingdao,Shandong,266071)
出处
《实用临床医药杂志》
CAS
2023年第23期100-104,共5页
Journal of Clinical Medicine in Practice
基金
山东省青岛市医药科研指导计划(2020-WJZD201)。
关键词
静脉治疗
临床实践
专科护士
多学科整合护理模式
intravenous therapy
clinical practice
specialist nurses
multidisciplinary integrated nursing model
