护理干预对中心静脉导管治疗肺癌胸腔积液的影响  

Effects of nursing intervention on central venous catheterization for pleural effusion in lung cancer

作　　者：林美雄[1] 张文[1] 倪美兰[1] 王运平[1] 韩淑贞[1] 赵秋莉[1] 高艳红[1] 

机构地区：[1]中国人民武装警察部队总医院,北京100039

出　　处：《中国急救复苏与灾害医学杂志》2014年第10期930-932,共3页China Journal of Emergency Resuscitation and Disaster Medicine

摘　　要：目的 探讨有针对性的护理干预在中心静脉导管治疗肺癌胸腔积液中的临床应用价值.方法 84例患有胸腔积液并接受中心静脉导管治疗的肺癌患者,男62例,女22例,年龄18～76岁,随机均分为对照组（接受常规护理）和研究组（接受有针对性的护理干预）.观察两组的疗效（胸水吸收情况和症状）和焦虑程度.结果 研究组的总有效率100％,显著高于对照组（90.48％,P＜0.005）;研究组一次置管成功率为100％,显著高于对照组（88.10％,P＜0.05）;研究组拔管时间（8.19±1.58）d,显著短于对照组[（11.23±2.12）d,P＜0.05].研究组不良反应率为7.14％,显著低于对照组（26.19％,P＜0.05）.研究组治疗后焦虑率为57.14％,显著低于对照组（73.81％,P＜0.05）.结论 有针对性的护理干预有助于提高中心静脉导管治疗肺癌胸腔积液的疗效,提高患者的生活质量.Objective To explore the influence of nursing intervention on central venous catheterization for pleural effusion in lung cancer.Methods Eighty-six lung cancer patients with pleural effusion,62 males and 22 females,aged 18～76,were randomly divided into 2 equal group：control group undergoing central venous catheterization and routine nursing care,and observation group undergoing nursing intervention in accordance with their individual situations in addition with central venous catheterization.The clinical effects and degree of anxiety were observed.Results The general effective rate of the observation group was 100.0％,significantly higher than that of the control group （90.48％,P ＜0.005）.The one-time success rate of catheterization of the observation group was 100％,significantly higher than that of the control group （88.10％,P ＜0.05）.The extubation time of the observation time was （8.19± 1.58）d,significantly shorter than that of the control group [（11.23±2.12） d,P ＜0.05].The adverse reaction rate of the observation group was 7.14％,significantly lower than that of the control group （26.19％,P ＜0.05）.The anxiety rate of the observation group was 57.14％,significantly lower than that of the control group （73.81％,P ＜0.05）.Conclusion Nursing intervention in accordance with the patients＇ individual situations helps raise the clinical effects in treatment of malignant pleural effusion in lung cancer

关 键 词：护理干预 中心静脉导管术 肺癌 胸腔积液 

分 类 号：R47[医药卫生—护理学]