颈内静脉导管固定装置在尿毒症血液透析患者中的应用  

Application of internal jugular vein catheter fixation device in hemodialysis patients with uremia

作　　者：杨娜[1] 周晓光[2] 陈玉倩 黄立锋[1] YANG Na;ZHOU Xiaoguang;CHEN Yuqian;HUANG Lifeng(Surgical Care Unit,Beijing Chao-yang Hospital,Capital Medical University,Beijing 100020,China;Department of Urology,Beijing Chao-yang Hospital,Capital Medical University,Beijing 100020,China)

机构地区：[1]首都医科大学附属北京朝阳医院外科监护室,北京100020 [2]首都医科大学附属北京朝阳医院泌尿外科,北京100020

出　　处：《中国医药导报》2023年第24期157-160,共4页China Medical Herald

基　　金：北京市自然科学基金面上项目(7222065)。

摘　　要：目的探讨颈内静脉导管固定装置在尿毒症血液透析患者中的应用效果。方法采用便利抽样法选取首都医科大学附属北京朝阳医院2020年5月至2021年5月采用常规颈内静脉导管固定方式的血液透析尿毒症患者41例为对照组,2021年6月至2022年6月采用自设颈内静脉导管固定装置的血液透析尿毒症患者45例为试验组。比较两组穿刺点出血,导管移位,敷料卷边,更换频次、更换时长和患者导管固定满意度。结果试验组的穿刺点出血发生率、导管移位率均低于对照组、导管固定装置更换频次少于対照组、更换时长短于对照组,差异有统计学意义(P<0.05);两组敷料卷边率比较,差异无统计学意义(P>0.05)。试验组导管固定后颈部活动、舒适度、方便性与总满意度均优于对照组,差异有统计学意义(P<0.05)。结论颈内静脉导管固定装置的应用能提高加固导管固定的安全性,减少移位对穿刺点的影响及提高临床使用满意度。Objective To investigate the application effect of internal jugular vein catheter fixation device in hemodialysis patients with uremia.Methods Forty-one hemodialysis uremic patients with conventional internal jugular vein catheter fixation from May 2020 to May 2021 in Beijing Chao-yang Hospital,Capital Medical University were selected as the control group,and 45 hemodialysis uremic patients with self-installed internal jugular vein catheter fixation device from June 2021 to June 2022 were selected as the experimental group using convenience sampling method.The differences in puncture point bleeding,catheter displacement,dressing crimping,frequency of change,length of change,and patient satisfaction with hemodialysis uremic patients were compared between the two groups.Results The incidence of puncture point bleeding and catheter displacement in the experimental group were lower than those in the control group,the frequency of catheter fixation device change was less than that in the control group,and the length of change was shorter than that in the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the rate of dressing crimping between the two groups(P>0.05).Neck movement,comfort,convenience,and overall satisfaction after catheter fixation were better in the experimental group than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of internal jugular vein catheter fixation device can improve the safety of reinforced catheter fixation,reduce the impact of displacement on the puncture point and improve the satisfaction of clinical use.

关 键 词：血液透析 导管固定 满意度 护理创新 

分 类 号：R459[医药卫生—治疗学]