摘要
目的分析对比基于五维健康量表的渐进护理降低PICC置管上肢静脉血栓发生率的效果。方法选取2018年1月至2019年12月期间本院接受PICC置管干预的110例肿瘤科患者,随机抽取患者分为研究组(n=60)及对照组(n=50)。接受常规护理干预患者为对照组,基于五维健康量表的渐进护理干预患者为研究组;对比分析两组患者的临床护理结果。结果治疗前,两组患者行动能力、自我照顾能力、日常活动能力、疼痛情况、情绪情况评分比较,差异均无统计学意义(均P>0.05);治疗后,研究组行动能力、自我照顾能力、日常活动能力、疼痛情况、情绪情况评分分别为(66.35±1.57)分、(67.06±0.82)分、(65.84±1.26)分、(66.63±0.52)分、(68.57±1.41)分,均高于对照组(62.51±0.25)分、(62.52±1.12)分、(62.54±1.31)分、(62.48±1.24)分、(65.12±0.98)分,差异均有统计学意义(均P<0.05);研究组上肢静脉血栓发生率为6.67%(4/60),明显低于对照组26.00%(13/50),差异有统计学意义(P<0.05)。结论对PICC置管干预肿瘤科患者,采取基于五维健康量表的渐进护理模式,可有效改善患者的健康评分,降低患者上肢静脉血栓形成风险,并最终达到降低患者上肢静脉血栓发生率的效果,临床价值明显。
Objective To analyze the effect of progressive care based on the five-dimensional health scale in reducing the incidence of venous thrombosis in the upper extremities caused by PICC catheterization.Methods One hundred and ten oncological patients who underwent PICC catheterization at our hospital from January,2018 to December,2019 were selected and randomly divided into a study group and a control group,with 50 cases in each group.The control group received conventional nursing intervention.The study group received progressive nursing intervention based on the five-dimensional health scale.The clinical nursing results of the two groups were compared and analyzed.Results Before the treatment,there were no statistical differences in the scores of motion,self-care,daily activity,pain,and emotion between these two groups(all P>0.05).After the treatment,the scores of motion,self-care,daily activity,pain,and emotion were higher in the study group than in the control group[(66.35±1.57)vs.(62.51±0.25),(67.06±0.82)vs.(62.52±1.12),(65.84±1.26)vs.(62.54±1.31),(66.63±0.52)vs.(62.48±1.24),and(68.57±1.41)vs.(65.12±0.98);all P<0.05].The incidence of upper limb venous thrombosis in the study group was significantly lower than that in the control group[6.67%(4/60)vs.26.00%(13/50);P<0.05].Conclusion Progressive care mode based on the five-dimensional health scale for oncological patients who take PICC catheterization can effectively improve their health and reduce the risk of upper limb venous thrombosis,and is of obvious clinical value.
作者
陈吉红
Chen Jihong(Department of Geriatrics,Mengyin People's Hospital,Linyi 276200,China)
出处
《国际医药卫生导报》
2021年第5期766-768,共3页
International Medicine and Health Guidance News
关键词
五维健康量表
渐进护理
PICC置管
上肢静脉血栓
Five-dimensional health scale
Progressive care
PICC catheterization
Upper limb venous thrombosis
