奥瑞姆自护理论在经外周静脉置入中心静脉导管维护中的应用  

Application of Orem self-care theory in PICC catheter safeguard

作　　者：张仰恩[1] 范祖燕[1] 郭细妹[1] 

机构地区：[1]中山大学附属第三医院

出　　处：《全科护理》2012年第26期2406-2407,共2页Chinese General Practice Nursing

摘　　要：[目的]提高病人的自护能力、降低并发症发生率。[方法]以奥瑞姆自护理论为指导,在留置经外周静脉置入中心静脉导管(PICC)不同时期应用不同的护理系统对151例留置PICC病人进行管道维护。[结果]院内:置管初期发生机械性静脉炎23例,穿刺口出血13例,发生静脉血栓拔管2例,敷料过敏1例;院外:穿刺口感染2例,敷料过敏6例,导管破损3例,导管脱出5例,发生静脉血栓拔管1例,堵管2例。[结论]应用奥瑞姆的自护理论于PICC维护中,能够充分发挥护士对病人的全面评估能力以及病人的主观能动性,改善和提高病人的自护能力,减少PICC并发症的发生。Objective：To enhance the self-care ability of nurses and reduce the incidence of complications. Methods： Orem self - care theory was taken for guidance,and a total of 151 cases of peripherally inserted central venous catheter （PICC） patients accepted pipeline safeguard in different period with different care systems. Results： Hospital：mechanical phlebitis occurred in 23 cases at the beginning of the catheter, bleeding puncture in 13 cases,two cases received extubation because of venous thrombosis occurred, a patient with dressing allergic;Outside the hospital：puncture infection occurred in 2 cases, six cases with dressing allergic, three cases with catheter breakage, five eases with catheter prolapse, 1 case received extubation because of venous thrombosis occurred, plugging occurred in two cases. Conclusion： Application of Orem selfcare theory in PICC safeguard can give full play to the comprehensive assessment of the nurses＇ ability for patients and the patients＇ initiative ,and so as to improve and enhance the patients＇ self- care ability,and reduce the incidence of PICC complications.

关 键 词：奥瑞姆自护理论 经外周静脉置入中心静脉导管 并发症 

分 类 号：R472[医药卫生—护理学]