导管滑脱风险评估在肝胆外科的临床应用  

Application of catheter slippage risk assessment in hepatobiliary surgery

作　　者：李代京[1] 张红宇[1] 靳桂芳[1] 闫芳然[1] 马剑萍[1] 

机构地区：[1]首都医科大学附属北京地坛医院,北京100015

出　　处：《中国肝脏病杂志（电子版）》2015年第4期97-100,共4页Chinese Journal of Liver Diseases：Electronic Version

基　　金：首都临床特色应用研究(Z121107001012169)

摘　　要：目的总结导管滑脱风险评估在肝胆外科的临床应用经验。方法对2014年11月至2015年3月在首都医科大学附属北京地坛医院行肝胆脾手术的患者导管滑脱风险评估的护理经验进行总结。结果对149例患者共进行了245人次评估,中重度危险的患者人次分别占26%和16%,最常见的脱管风险因子是术后3天内、与手术有关的各种管路和沟通理解力一般。置管患者需要常规预防脱管,中重度脱管风险患者还需针对其相关的危险因子,实施个性化的防脱管护理措施,本研究149例患者均未出现脱管现象。结论导管滑脱风险评估表的应用,有助于护士了解患者的脱管风险等级及危险因子,以便采取针对性的有效措施防止脱管。Objective To summarize the experience of application of catheter slippage risk assessment in hepatobiliary surgery. Methods The classification and risk factors of catheter slippage patients with hepatobiliary and splenic operations in Beijing Ditan Hospital, Capital Medical University from November 2014 to March 2015 were analyzed retrospectively. Results Total of 149 patients were evaluated for 245 times using catheter risk assessment scale. There were 26% person-time with moderate risk and 16% persontime with severe risk of catheter slippage. The usual risk factors were in 3 days after operation, all kinds of catheters related to the operation, common ability of communication and the understanding of the patients. General measures to prevent catheter out were provided for all patients and specific measures were provided for the patients with moderate and severe risks. In the study, there were no catheter slippage in the 149 patients. Conclusion Application of catheter slippage risk assessment could help to identify the risk level of catheter slippage of patients and the risk factors of catheter out so as to provide patients with effective measures to prevent catheter slippage.

关 键 词：肝胆外科手术 导管滑脱 风险评估 导管护理 

分 类 号：R473.6[医药卫生—护理学]