长期血液透析深静脉留置导管的并发症预防效果的护理

摘要

Objective To investigate the effect of complication-targeted nursing care for patients with deep venous catheter in long-term hemodialysis.Methods 80 patients indwelling deep venous catheter in long-term hemodialysis at our hospital from September,2013 to January,2015 were divided into a control group and an experimental group according to whether they were willing to be complication-targetedly cared.The control group were conventionally cared;in addition,the experimental group were complication-targetedly cared.The overall nursing effect,related clinical indicators,incidences of complications,etc.were compared between these two groups.Results The total nursing efficacy,the compliance score,and the nursing satisfaction score were significantly higher,the catheter-indwelling time was much longer,and the anxiety and depression scores,the incidences of entrance infection,bleeding,thrombosis,and catheter losing,and the total incidences of complications were significantly lower in the experimental group than in the control group,with statistical differences (P＜0.05).Conclusions Complication-targeted nursing care for patients with deep venous catheter in long-term hemodialysis is quite effective,can increase satisfaction degree,and is of reference.%目的 探讨并发症针对性护理对长期血液透析深静脉留置导管患者的效果.方法 收集本院2013年9月至2015年1月收治的80例长期血液透析深静脉留置导管患者,按是否愿意接受并发症针对性护理分为对照组与实验组,各40例.对照组常规护理,实验组加施并发症针对性护理干预,比较两组总体护理效果、相关临床指标与并发症发生情况等.结果 实验组护理总有效率显著高于对照组,差异有统计学意义(P＜0.0 1);实验组导管留置时间、依从性评分与护理满意评分显著高于对照组,焦虑评分与抑郁评分显著低于对照组,差异有统计学意义(P＜0.01);实验组入口感染、出血、血栓形成与导管脱落发生率明显低于对照组,差异有统计学意义(P＜0.05);实验组总体并发症发生率显著低于对照组,差异有统计学意义(P＜0.01).结论 并发症针对性护理对长期血液透析深静脉留置导管患者的影响效果显著,可提高满意度,具有借鉴性.