急性白血病患者PICC置管活动受限并发血栓性静脉炎的护理干预分析  

Nursing Intervention Analysis of Patients with acute Leukemia complicated by Thrombophlebitis due to limited Activity of PICC Catheterization

作　　者：张帆[1] 王瑞琦 崔彬[1] ZHANG Fan;WANG Ruiqi;CUI Bin(Department of Hematology,Henan Provincial People's Hospital,Zhengzhou Henan 450000,China)

机构地区：[1]河南省人民医院血液内科,河南郑州450000

出　　处：《临床研究》2022年第11期177-180,共4页Clinical Research

摘　　要：目的探究开展经外周静脉置入中心静脉导管(PICC)的急性白血病病患因活动受限而出现血栓性静脉炎的护理干预措施。方法选择河南省人民医院2021年6月至2021年12月收治的62例急性白血病病患为研究对象,全部病患均开展PICC置管,并且由于置管期间活动受限而出现血栓性静脉炎。分组方式选择随机摸红蓝球方式,其中常规组(31例)摸蓝球,试验组(31例)摸红球,将常规护理应用于常规组病患中,将PDCA循环护理应用于试验组病患中。针对每组病患各时期疼痛感视觉模拟评分法(VAS)及置管时间、血肿消退时间、干预后血栓静脉炎程度、导管堵塞率、导管移位率、满意度进行比较。结果同组组内干预后VAS得分相较干预前低,干预后试验组病患VAS得分相较常规组低,差异有统计学意义(P<0.05)。试验组病患置管时间长于常规组,血肿消退时间短于常规组,差异有统计学意义(P<0.05)。试验组病患干预后血栓静脉炎严重程度相较常规组低,差异有统计学意义(P<0.05)。试验组病患导管堵塞率、导管移位率均低于常规组,差异有统计学意义(P<0.05)。试验组病患满意度高于常规组,差异有统计学意义(P<0.05)。结论开展PICC置管的急性白血病病患由于活动受限而出现血栓性静脉炎时,实施PDCA循环护理,能够改善疼痛感,延长置管时间,缩短血肿消退时间,改善疾病严重程度,降低导管堵塞率以及导管移位率,提高满意度。Objective To explore the nursing intervention of thrombophlebitis in acute leukemia patients with peripherally inserted central catheter(PICC)due to limited mobility.Methods A total of 62 patients with acute leukemia admitted to Henan Provincial People’s Hospital from June 2021 to December 2021 were selected as the study subjects.All patients underwent PICC catheterization,and thrombophlebitis occurred due to limited activities during the catheterization.Randomized red and blue ball touching was selected as the grouping method.The conventional group(31 cases)touched the blue ball,and the test group(31 cases)touched the red ball.Routine nursing was applied to the patients in the conventional group,and PDCA circulation nursing was applied to the patients in the test group.The visual analogue scale of pain(VAS),catheter insertion time,hematoma resolution time,thrombophlebitis degree after intervention,catheter blockage rate,catheter displacement rate and satisfaction were compared for each group of patients in each period.Results The VAS scores of patients in the same group after intervention were lower than those before intervention,and the VAS scores of patients in the test group after intervention were lower than those in the conventional group,the difference was statistically significant(P<0.05).The patients in the test group had longer catheterization time and shorter hematoma regression time than those in the conventional group(P<0.05).After intervention,the severity of thrombophlebitis in the test group was lower than that in the conventional group,with a statistically significant difference(P<0.05).The catheter blockage rate and catheter displacement rate of patients in the test group were lower than those in the conventional group,and the difference was statistically significant(P<0.05).Patient satisfaction in the test group was higher than that in the conventional group,with a statistically significant difference(P<0.05).Conclusion When thrombophlebitis occurs in acute leukemia patients with PICC cathete

关 键 词：血栓性静脉炎 活动受限 经外周静脉置入中心静脉导管 急性白血病 PDCA循环护理 

分 类 号：R473[医药卫生—护理学]