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目的探讨细节护理对改善静脉留置针患者穿刺部位并发症发生的影响。方法选取2014年1月至2015年1月在大连市友谊医院综合二病房就诊的101例患者为研究对象,均需要留置静脉针并无水肿及低蛋白血症,按随机数字表法分为观察组与对照组。对照组50例患者采用普通护理措施;观察组51例患者在对照组的基础上对留置静脉针的患者采用细节护理,比较两组患者静脉留置针部位感染、皮下水肿、液体渗出、导管阻塞、静脉炎发生情况。结果 101例患者均一次穿刺成功。观察组51例患者共5例发生并发症,其中2例发生感染,1例皮下水肿,2例导管阻塞;对照组50例患者共20例发生并发症,其中4例发生感染,3例液体渗漏,4例皮下水肿,5例导管阻塞,4例静脉炎。观察组各种并发症的发生率均明显低于对照组,差异有统计学意义(P<0.05)。结论对静脉留置针患者采用细节护理,可以明显降低并发症的发生率,提高护理质量。
Objective To investigate the effect of detailed nursing on the complication of puncture site in patients with intravenous catheter. Methods From January 2014 to January 2015, 101 patients treated in the second ward of Dalian Friendship Hospital were enrolled in this study. All the patients needed intravenous injection without edema and hypoalbuminemia, and were divided into observation by random number table Group and control group. The control group of 50 patients with general care measures; observation group of 51 patients in the control group based on the intravenous needle indwelling patients with detailed care, intravenous catheter needle site infection, subcutaneous edema, fluid exudation, catheter obstruction Phlebitis situation. Results All the 101 patients were successfully punctured. Complications occurred in 5 of 51 patients in the observation group, of which 2 were infected, 1 was subcutaneous edema, and 2 was occluded. Complications occurred in 20 of the 50 patients in the control group, with infection in 4 and fluid in 3 4 cases of subcutaneous edema, 5 cases of catheter obstruction, 4 cases of phlebitis. The incidence of various complication in the observation group was significantly lower than that in the control group, the difference was statistically significant (P <0.05). Conclusion The details of the nursing care of patients with intravenous indwelling needle can significantly reduce the incidence of complications and improve the quality of care.