摘要
目的探讨改良植入方式在手臂输液港置管中的应用效果,旨在为临床医护人员在选择手臂输液港置入方式时提供参考。方法2019年6月至2022年6月,采用方便抽样方法选取南京医科大学第一附属医院收治的87例恶性肿瘤患者作为研究对象。根据患者入院时间进行分组。将2019年6月至2020年2月收治的42例患者纳入对照组,2020年3月至2022年6月收治的45例患者纳入观察组。对照组采用传统方式放置手臂输液港,观察组采用改良植入方式放置手臂输液港。比较两组患者输液港港座放置用时、术中囊袋下导管打折发生率、术中疼痛评分和术后并发症发生率。结果观察组输液港座放置用时、术中疼痛评分、术中囊袋下导管打折发生率、术后并发症发生率均低于对照组,差异均有统计学意义(P<0.05)。结论采用改良植入方式放置手臂输液港能够缩短手臂输液港港座放置用时、缓解患者术中疼痛程度、降低术中囊袋下导管打折发生率及术后并发症发生率,值得临床推广。
Objective To investigate the effect of a modified arm port implantation method,aiming to provide a reference for clinical healthcare providers in choosing arm port implantation methods.Methods From June 2019 to June 2022,87 malignant tumor patients were selected by convenience sampling who were admitted to the First Affiliated Hospital of Nanjing Medical University.These patients were grouped according to their admission time.Patients who were admitted from June 2019 to February 2020 were included in the control group(n=42)and those who were admitted from March 2020 to June 2022 were included in the observation group(n=45).In the control group,arm ports were implanted using the traditional method;in the observation group,arm ports were implanted in the modified method.The time taken to implant the port seat,the incidence of intraoperative catheter folding beneath the pocket,the score of intraoperative pain and the incidence of postoperative complications were compared between the two groups.Results The time taken to implant the port seat,the score of intraoperative pain,the incidence of intraoperative catheter folding beneath the pocket and the incidence of postoperative complications of the observation group were shorter/lower than those of the control group,with significant differences(P<0.05).Conclusion This modified implantation method is worthy of clinical promotion as it is associated with a shorter implantation time,a lower degree of intraoperative pain,and lower incidences of intraoperative catheter folding and postoperative complications.
作者
岳朝丽
汤雅洁
史笑
王艳丽
刘扣英
YUE Chaoli;TANG Yajie;SHI Xiao;WANG Yanli;LIU Kouying(The First Affiliated Hospital of Nanjing Medical University,Nanjing,Jiangsu 210029)
出处
《上海护理》
2024年第6期50-53,共4页
Shanghai Nursing
基金
江苏省人民医院2021年度“临床能力提升工程”护理项目(JSPH-NC-2021-6)。
关键词
手臂输液港
植入
腔内心电图
囊袋制作
疼痛
Arm port
Implantation
Intracavitary electrocardiogram
Pocket incision
Pain
