神经科静脉炎患者评估及预防性护理  

Neurologist phlebitis patient assessmentandpreventive care

作　　者：张建芳[1] 黎媛媛[1] 

机构地区：[1]山东省淄博市中心医院神经科,山东淄博255000

出　　处：《中国医药科学》2013年第19期148-150,共3页China Medicine And Pharmacy

摘　　要：目的对神经科易发的静脉炎进行风险评估,据此有针对性的实施预防性护理,有效地降低静脉炎的发生几率,减轻患者的病痛。方法将选取的2012年的150例患者作为观察组,从刚住院就对患者进行评估,对不同的患者制定不同的有针对性的输液方案,同时实施可预防性的护理,统计和分析出观察组中的静脉炎发生率。将选取的2011年的150例住院患者作为对照组,参照病例和医生的记录统计分析出对照组的静脉炎发生率。结果观察组中未发生静脉炎、Ⅰ度静脉炎、Ⅱ度静脉炎、Ⅲ度静脉炎的比例分别为94.67%、4.00%、1.33%、0%,而对照组中未发生静脉炎、Ⅰ度静脉炎、Ⅱ度静脉炎、Ⅲ度静脉炎的比例分别为80.00%、10.00%、8.00%、2.00%,通过对患者的年龄、所患疾病、所用药物、输液天数,室内温度等方面进行评估,同时进行相应的预防性护理,有效的降低了静脉炎的发生率。结论经上述5个方面的相关因素分析,确有发生静脉炎的采取积极措施,早护理,尽早和患者做好沟通,住院期间对患者进行全面的评估,针对性的做出预防性护理,通过上述措施,神经科住院期间患者的静脉炎的发生率大大减少,有利于疾病的恢复,减少护理纠纷的发生。Objective The risk assessment is conducted for neuropathic phlebitis. The preventative nursing is specifically implemented to reduce the incidence of phlebitis effectively and relieve the patients＇ disease. Methods A sample of 150 patients in 2012 was selected as an observation group and another sample of 150 patients in 2011 was selected as a control group. The observation group was assessed since the hospitalization of patients started. Both targeted infusion and preventative nursing were implemented on different patients in the observation group. The incidences of phlebitis in the observation group were collected and analyzed. The incidences of phlebitis in the control group were obtained according to the medical records. Results In the observation group the proportion of no phlebitis,I phlebitis,II phlebitis,III phlebitis were 94.67%,4.00%,1.33%,4.00%,and In the control group the proportion of no phlebitis,I phlebitis,II phlebitis,IU phlebitis were 80.00%, 10.00%,8.00%,2.00%.The incidence of phlebitis is found to be effectively reduced by assessing the patient＇s condition in terms of age,disease,drug,infusion days and room temperature and correspondingly conducting the preventative nursing. Conclusion Through the above five aspects related factors analysis, phlebitis occurred to take active measures, early nursing, and patients to communicate as soon as possible.A comprehensive assessment and specifically preventative nursing for the patient are beneficial for both the disease recovery and reducing the occurrence of nursing dispute. So the incidence of phlebitis will greatly reduce in the Neurologist hospital patients.

关 键 词：神经科 静脉炎 评估 预防 

分 类 号：R473.5[医药卫生—护理学]