循证护理对临时性股静脉留置导管透析患儿相关并发症与心理状态及遵从导管护理指导依从性的影响  

Influence of evidence-based nursing on related complications,psychological status and compliance with catheter nursing guidance in children with temporary femoral vein indwelling catheter dialysis

作　　者：赵韦 金轶月 ZHAO Wei;JIN Yiyue(Department of Renal Immunology,Children’s Hospital of Soochow University,Jiangsu Province,Suzhou 215000,China)

机构地区：[1]苏州大学附属儿童医院肾脏免疫科,江苏苏州215000

出　　处：《妇儿健康导刊》2022年第7期137-140,151,共5页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的分析循证护理对临时性股静脉留置导管透析患儿相关并发症(血栓形成、感染、尖端贴壁)总发生率、心理状态评分(焦虑评分、抑郁评分)、遵从导管护理指导依从性的影响。方法选取苏州大学附属儿童医院肾脏免疫科2017年1月至2021年12月收治的70例临时性股静脉留置导管透析治疗的患儿为研究对象,利用随机数字表法分为两组,每组各35例。对照组采取传统护理模式,观察组实施循证护理,1个月后比较两组患儿的相关并发症总发生率、心理状态评分、遵从导管护理指导依从性。结果观察组的相关并发症总发生率低于对照组,遵从导管护理指导总依从率高于对照组,差异有统计学意义(P<0.05)。护理前两组的心理状态评分比较,差异无统计学意义(P>0.05);护理后两组的心理状态评分低于护理前,且观察组的心理状态评分低于对照组,差异均有统计学意义(P<0.05)。结论循证护理有助于降低临时性股静脉留置导管透析患儿的相关并发症总发生率,改善其心理状态以及提高遵从导管护理指导的依从性,在护理工作中值得加以推广使用。Objective To analyze evidence-based nursing on total incidence of related complications(thrombosis,infection,tip sticking),psychological status score(anxiety score,depression score)and compliance with catheter nursing guidance in children with temporary femoral vein indwelling catheter dialysis.Methods A total of 70 children with temporary femoral vein indwelling catheter dialysis who were treated in Department of Renal Immunology,Children’s Hospital of Soochow University from January 2017 to December 2021 were selected as the research objects and divided into two groups by random number table method,35 cases in each group.The control group was given traditional nursing mode,while the observation group was given evidence-based nursing.One month later,the total incidence of related complications,psychological state scores,and compliance with catheter nursing guidance were compared between the two groups.Results The total incidence of related complications in the observation group was lower than that in the control group,and the total compliance with catheter nursing guidance was higher than that in the control group,with statistical differences(P<0.05).There were no significant differences in the psychological state scores between the two groups before nursing(P>0.05).The psychological state scores after nursing were lower than those before nursing in each group,and the psychological state scores in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion Evidence-based nursing can help reduce the total incidence of complications related to dialysis with temporary femoral vein indwelling catheter,improve their psychological state,and improve compliance with catheter nursing guidance,and it is worthy of promotion and use in nursing work.

关 键 词：临时性股静脉留置导管 透析 患儿 循证护理 相关并发症 心理状态 遵从导管护理指导依从性 

分 类 号：R473.5[医药卫生—护理学]