三指对捏进针法在输液港中的应用  

Application of three fingers to pinching needle method in infusion port

作　　者：杨慧[1] 郑亚萍[1] Yang Hui;Zheng Yaping(Oncology Department of the Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310009,China)

机构地区：[1]浙江大学医学院附属第二医院肿瘤内科,杭州310009

出　　处：《中国实用护理杂志》2019年第24期1908-1910,共3页Chinese Journal of Practical Nursing

摘　　要：目的采用三指对捏进针输液港的方法来探讨其优点。方法选择2018年1-6月经颈内静脉行输液港植入术的患者43例。采用自身对照法,分为试验组和对照组,2组患者均使用安全型蝶翼无损针进针。对照组在2018年7月1-31日采用传统进针法,试验组在2018年8月1-31日采用三指对捏进针法,比较2组患者在一次性进针、局部皮肤出血、患者满意率方面的不同结果。结果对照组一次性进针率和未出血率均为25.6%(11/43)、满意率为20.9%(9/43),有1例基座翻转、1例夹闭综合征、1例局部感染,无其他并发症。试验组一次性进针率、未出血率和满意率均为90.7%(39/43),有1例夹闭综合征,无其他并发症。2组一次性进针率、局部未出血率、满意率差异有统计学意义(χ^2=37.45、37.45、42.43,均P<0.05)。结论三指对捏进针法比传统进针法更能提高护士一次性进针率,提高患者的满意率,降低并发症,值得在临床中推广。Objective To explore the advantages of the three-finger method of pinching the needle infusion port.Methods A total of forty three patients who underwent intracranial vein infusion port implantation between January 2018 and June 2018 were enrolled.The self-control method was divided into the test group and the control group,and both groups of patients used a safe butterfly wing non-destructive needle.The control group used the traditional needle insertion method from July 1st to July 31st.The experimental group used the three-finger needle-to-needle method from August 1st to August 31st to compare the two groups of patients in one-time injection.Different results in terms of local skin bleeding and patient satisfaction.Results The one-time injection rate and non-bleed rate of the control group were both 25.6%(11/43) and the satisfaction rate was 20.9%(9/43).There was one case of pedicle turnover,one case of clipping syndrome,and one case of local infection;no other complications.The one-time injection rate and non-bleed rate of the test group were both 90.7%(39/43) and the satisfaction rate was 90.7%(39/43);there was one case of clipping syndrome;no other complications.The difference of one-time injection rate,local non-bleed rate and satisfaction rate between the two groups was statistically significant (χ^2=37.45,37.45,42.43,both P<0.05).Conclusions The three-finger method of pinching the needle can improve the one-time injection rate of the nurse,improve the patient's satisfaction and reduce the complications.This aspect deserves to be promoted in the clinic.

关 键 词：三指对捏 进针法 输液港 

分 类 号：R472[医药卫生—护理学]