前馈控制在降低慢性肝病患者外周静脉留置针导致的并发症的效果分析  

Effect of feed-forward control on reducing complications of peripheral venous indwelling needle in patients with chronic liver disease

作　　者：孙月[1] 钱湘云[1] 施岑娟 姜丽丽 SUN Yue;QIAN Xiangyun;SHI Cenjuan;JIANG Lili(Department of Infectious Disease,Nantong Third Hospital Affiliated to Nantong University, Nantong 226006,China)

机构地区：[1]南通大学附属南通第三医院感染科,江苏南通226006

出　　处：《医药高职教育与现代护理》2021年第5期426-429,共4页Medical Higher Vocational Education and Modern Nursing

摘　　要：目的探讨前馈控制在慢性肝病患者外周静脉置管中的应用效果。方法采用便利抽样法,选取南通大学附属南通第三医院感染科331例外周静脉留置针静脉输液的慢性肝病患者为研究对象,其中2019年7月1日至9月30日共165例患者为对照组,采用传统留置管理方法;2019年10月1日至12月31日共166例患者为试验组,实施前馈控制理念进行外周静脉留置干预。比较两组患者外周静脉留置一针见血率、首次留置时间,并发症情况及患者满意度。结果干预后试验组患者一针见血率、首次留置时间(>96小时)、穿刺满意度均优于对照组,导管堵塞、静脉炎、液体渗出等并发症发生率低于对照组,两组比较差异有统计学意义(P<0.05)。结论前馈控制可有效提高外周静脉留置一针见血率,延长留置时间,提高患者穿刺满意度,减少并发症的发生。Objective To explore the effect of feed-forward control in peripheral venous catheterization of patients with chronic liver disease.Methods A total of 331 cases of chronic liver disease treated with peripheral venous indwelling needle in the Infection Department of the Third Affiliated Hospital of Nantong University were selected by convenience sampling method.One hundred and sixty-five patients from July 1 to September 30,2019 were selected as the control group and the traditional indwelling management method was adopted.A total of 166 patients from October 1 to December 31,2019 were taken as the experimental group,and the peripheral venous indwelling intervention was performed with the concept of feed-forward control.Compare the two groups of patients with the rate of first-shot blood,first indwelling time,the incidence of complications and the patient satisfaction.Results After the intervention,the rate of first-shot blood,first indwelling time(>96 hours),and puncture satisfaction of the experimental group were better than those of the control group.The incidence of complications such as catheter blockage,phlebitis,and fluid leakage was lower than that of the control group.The difference between the two groups was statistically significant(P<0.05).Conclusions Feed-forward control can effectively increase the rate of first-shot blood,prolong the indwelling time,improve puncture satisfaction,and reduce the occurrence of complications.

关 键 词：前馈控制 慢性肝病 外周静脉留置 

分 类 号：R47[医药卫生—护理学]