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目的:了解蚌埠市留置引流管居家护理期间并发症的情况,分析并发症发生的原因。方法:围绕出院携带留置引流管所发生并发症进行调查,采取查阅出院病例、电话随访、走访医院医生和护士及社区调查的方式,对蚌埠市3家医院的肿瘤外科、泌尿外科、神经内科、血液透析中心、PICC维护门诊5个科室出院患者携带引流管进行调查。结果:共筛选携带引流管出院患者1 011例,留置管在居家期间出现并发症103例,发生率10.19%。结论:出院携带引流管居家维护薄弱,尚未有专业团队和专业人员参与维护。应建立医生、社区护士、志愿者和患者家属共同组成的团队,推进引流管居家维护的规范化。
Objective: To understand the complications of indwelling drainage tube during home nursing in Bengbu City and analyze the causes of complications. Methods: Surrounding the complications of discharge and indwelling drainage tube were investigated, and the methods of visiting discharged patients, telephone follow-up visits, visits to hospital doctors and nurses and community investigation were taken. Tumor surgery, urology, neurology, Hemodialysis center, PICC maintenance outpatient 5 departments discharge patients to carry drainage tube investigation. Results: A total of 1 011 patients discharged from hospital with drainage tube were selected and 103 cases were complicated with indwelling catheter at home. The incidence rate was 10.19%. Conclusion: Home discharge with drainage tube is weak and not yet involved in the maintenance by professional teams and professionals. A team of doctors, community nurses, volunteers and their relatives should be established to promote the standardization of home-maintenance of the drainage tube.