循证护理在防治恶性肿瘤患者胸腔穿刺并发症中的应用  

Application of evidence-based nursing in prevention and treatment of complications of thoracocentesis in patients with malignancy

作　　者：顾小丽[1] 吴红梅[1] 王翠兰[1] 

机构地区：[1]江苏省南通市肿瘤医院,江苏南通226361

出　　处：《实用临床医药杂志》2013年第2期14-16,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨循证护理在防治恶性肿瘤患者胸腔穿刺并发症中的应用效果。方法将2010年1—12月收治的50例恶性肿瘤胸腔积液穿刺患者设为对照组,采用常规护理方法;将2011年1—12月收治的52例恶性肿瘤胸腔积液穿刺患者设为实验组,在胸腔穿刺术全程中实施循证护理。观察比较2组患者胸腔穿刺并发症的发生率。结果对照组并发症发生率为22%,实验组并发症发生率为3.85%。实验组胸腔穿刺并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论在肿瘤患者恶性胸腔积液穿刺术中实施循证护理,可有效降低并发症发生率,值得推广应用。Objective To explore the effect of evidence- based nursing in prevention and treatment of complications of thoracocentesis in patients with malignancy. Methods 50 malignancy patients underwent pleural effusion paracentesis from January to December in 2010 were designed as control group, and they were conducted with conventional nursing; 52 malignancy patients underwent pleural effusion paracentesis from January to December in 2011 were designed as experimental group, and they were conducted with evidence - based nursing in entire process of thoracocentesis. Incidence rate of complications of thoracocentesis was observed and compared between two groups. Results Incidence rates of complications in control group and experimental group were 22 % and 3. 85 % respectively, and there was statistical difference in incidence rate of complications between two groups （ P 〈 0.05）. Conclusion Application of evidence - based nursing in malignancy patients with pleural effusion paracentesis can effectively reduce the incidence rate of complication, so it is worthy of popularization and application.

关 键 词：循证护理 恶性胸腔积液 并发症 

分 类 号：R473.73[医药卫生—护理学]