基于临床表征评估的导管更换方案在外周静脉置管患者中的应用  

The application of catheter replacement program based on the assessment of clinical signs to the patients with outer peripheral venous catheter

作　　者：杨濡溪[1] 肖静蓉[1] 刘昌凤[1] 曾丽[1] Yang Ruxi Xiao Jingrong Liu Changfeng Zeng Li(Department of Orthopaedics, People＇s Hospital of Sichuan Province, Chengdu 510072, China)

机构地区：[1]四川省人民医院骨科,成都610072

出　　处：《国际护理学杂志》2017年第3期416-419,共4页international journal of nursing

摘　　要：目的探讨基于临床表征评估的导管更换方案在外周静脉置管患者中的应用效果。方法选取2015年6～12月我院骨科病房行外周静脉置管患者82例为研究对象，根据随机数字表法，随机分为对照组和观察组各41例，对照组采用常规的导管更换方案，观察组则给予基于临床表征评估的导管更换方案。观察比较两组患者的外周静脉导管留置情况和留置期间并发症的发生情况。结果两组患者的导管留置总时间比较，差异无统计学意义（P〉O．05）；但观察组的置管次数明显低于对照组，平均每次留置时间明显高于对照组，差异均有统计学意义（P〈O．05）；两组患者在各并发症发生率方面比较，差异均无统计学意义（P〉O．05）。结论基于临床表征评估的导管更换方案在外周静脉置管患者中的应用效果显著，能够显著延长外周静脉置管患者的导管留置时间，降低医疗资源浪费，同时又不会增加患者并发症的发生率。Objective To explore the application effect of catheter replacement program based on the assess- ment of clinical signs on patients with outer peripheral venous catheter. Methods A total of 82 cases of patients with outer peripherai venous catheter in our hospital＇s orthopedic ward from June 2015 to December 2015 were selected as the research objects and were randomly divided into control group and observation group according to the random number ta- ble method, 41 cases in each group. The control group were treated with routine catheter replacement program, while the observation group were treated with catheter replacement program based on the assessment of clinical signs. The re- tention of peripheral venous catheter and the complications were observed and compared. Results There were no statis- tical significance in terms of the difference of total catheter retention time between the two groups （P〉0.05）. But the number of the installation of catheter of the observation group was significantly lower than that of the control group （P〈 0. 05 ）. The average per-retention time of the observation group was significantly higher than that of the control group （P〈0. 05）. There were no statistical signifieances in terms of the incidence of complications between the two groups （P〉0. 05 ） . Conclusions Catheter replacement program based on the assessment of clinical signs applied to the pa- tients with outer peripheral venous catheter was shown a good effect, which can significantly extend the indwelling cath- eter time of peripheral venous catheter, and can reduce the waste of medical resources without increasing the incidence of complications.

关 键 词：临床表征评估 外周静脉置管 并发症 

分 类 号：R472[医药卫生—护理学]