血栓风险评估基础上分级护理在PICC置管并发静脉血栓患者中的应用效果  

Effectiveness of graded care based on thrombosis risk assessment in patients with PICC placement complicating venous thrombosis

作　　者：范丽君 顾美良 蒋飞 Fan Lijun;Gu Meiliang;Jiang Fei(Changzhou Maternal and Child Health Hospital,Changzhou Medical Center,Nanjing Medical University,213000,China)

机构地区：[1]常州市妇幼保健院,常州医学中心,南京医科大学,213000

出　　处：《国际护理学杂志》2023年第23期4304-4308,共5页international journal of nursing

基　　金：江苏省妇幼健康科研项目(F202125)。

摘　　要：目的探讨血栓风险评估基础上分级护理在PICC置管并发静脉血栓患者中的应用效果。方法随机选取2020年4月至2022年4月于常州市妇幼保健院收治的宫颈癌PICC置管并发静脉血栓患者150例为研究对象。应用计算机随机法分为对照组和研究组各75例。对照组实施常规护理, 研究组血栓风险评估基础上分级护理。比较两组并发症总发生率, 两组护理前后血流动力学、凝血功能指标。结果护理后, 研究组全血低切黏稠度、全血中切黏度、全血高切黏度、红细胞聚集指数、心脏指数指标优于对照组, 凝血酶原时间(Prothrombin Time, PT)、活化部分凝血活酶时间(Activated Partial Thromboplatin Time, APTT)、凝血酶时间(Thrombin Time, TT)水平高于对照组, 差异均有统计学意义(均P<0.05);研究组感染、导管脱落、静脉炎、静脉血栓发生率低于对照组, 差异均有统计学意义(均P<0.05)。结论 PICC置管并发静脉血栓患者实施风险护理, 可改善患者的血流动力学及凝血功能, 降低血栓栓塞、静脉炎等并发症的发生概率。Objective To investigate the effect of graded care based on thrombosis risk assessment in patients with venous thrombosis complicated by PICC placement.Methods A total of 150 patients with cervical cancer PICC catheterization and complicated by venous thrombosis admitted to this hospital from April 2020 to April 2022 were randomly selected as the study subjects.A computerized randomization method was applied to divide the control and study groups into 75 cases each.The total incidence of complications,hemodynamic and coagulation function indexes before and after care in the two groups were compared.Results After the nursing care,the low shear viscosity,high shear viscosity of whole blood,red blood cell aggregation index and cardiac index were better than those of the control group,Prothrombin time(PT),activated partial thrombin time(APTT),thrombin time(TT)levels were higher than those in the control group,results were statistically significant(P<0.05);The incidence of infection,catheter shedding,phlebitis,and venous thrombosis in the study group was lower than that in the control group,results were statistically significant(P<0.05).Conclusions The risk care for patients with PICC catheterization can improve their hemodynamics and coagulation function,and reduce the probability of complications such as thromboembolism and phlebitis.

关 键 词：风险护理 PICC置管并发静脉血栓 血流动力学 置管效果 健康知识掌握度 

分 类 号：R472[医药卫生—护理学]