摘要
目的探讨预防性护理对维持性血液透析患者中心静脉导管防止血栓形成的效果。方法 2017年11月—2018年8月期间,在该院收治的维持性血液透析患者随机选择98例作为这次研究的对象,将其按照1∶1比例、随机分成对照组与试验组每组49例,对照组实施常规护理,试验组配合给予预防性护理,比较护理效果。结果试验组中心静脉导管血栓、感染发生率分别为4.08%、2.04%,对照组分别为16.32%、14.28%,2组比较,差异有统计学意义(χ~2=8.178,9.995,P=0.004,0.001),而试验组出血发生率为4.08%,对照组为8.16%,组间差异无统计学意义(χ~2=1.448,P=0.228);试验组护理满意度为95.92%,对照组为81.63%,试验组比对照组高,差异有统计学意义(χ~2=10.246,P=0.001)。结论维持性血液透析患者实施预防性护理,效果满意,建议推广借鉴。
Objective To investigate the effect of preventive nursing on prevention of thrombosis in central venous catheters in maintenance hemodialysis patients. Methods From November 2017 to August 2018, 98 patients in maintenance hemodialysis patients admitted to our hospital were randomly selected as subjects of this study. They were randomly divided into control group and experimental group according to 1∶1 ratio. 49 patients in the control group received routine nursing,and the experimental group cooperated with preventive care to compare the nursing effects. Results The incidence of central venous thrombosis and infection in the experimental group was 4.08% and 2.04%, respectively. The control group was16.32% and 14.28%, respectively. The difference was statistically significant(χ^2=8.178,9.995, P=0.004,0.001), while the incidence of bleeding in the test group was 4.08%, and that in the control group was 8.16%. There was no significant difference between the groups(χ^2=1.448, P=0.228);the satisfaction of the test group was 95.92%, and the control group was81.63%. The experimental group was higher than the control group, and the difference was statistically significant(χ^2=10.246, P =0.001). Conclusion Preventive nursing is implemented in maintenance hemodialysis patients with satisfactory results.
作者
王志东
李宁
WANG Zhi-dong;LI Ning(Emergency Center, Xinjiang Kezhou People's Hospital, Kezhou Xinjiang, 845350 China)
出处
《中外医疗》
2019年第7期142-144,共3页
China & Foreign Medical Treatment
