腫瘤患者實施循證護理對深靜脈長期留置導管感染的預防效果

袁建濤 趙丹 盧亞改

【摘要】 目的：觀察腫瘤患者實施循證護理對深靜脈長期留置導管感染的預防效果。方法：選取筆者所在醫院（2017年10月-2019年10月）收治的長期留置深靜脈導管腫瘤患者總計90例，隨機數字法分成對照組（45例）與循證組（45例），其中對照組實施常規護理，循證組實施循證護理。對照兩組感染及其他并發癥發生率，患者對護理的滿意度評分及生活質量評分。結果：循證組感染率為2.22%，其他并發癥發生率為0，明顯少于對照組的15.56%、13.33%（P<0.05），且循證組患者對護理的滿意度評分明顯高于對照組（P<0.05），干預后兩組WHOQOL-BREF評分明顯升高，其中循證組的WHOQOL-BREF各項評分明顯高于對照組（P<0.01）。結論：在深靜脈長期留置導管的腫瘤患者中，實施循證護理干預，可明顯減少患者感染及其他并發癥發生率，提高患者對護理的滿意度評分，效果理想。

【關鍵詞】 腫瘤患者 循證護理 深靜脈 長期留置導管 感染 預防效果

doi：10.14033/j.cnki.cfmr.2020.17.034 文獻標識碼 B 文章編號 1674-6805（2020）17-00-03

The Effect of Evidence-based Nursing on the Prevention of Long-term Indwelling Catheter Infection in Deep Vein of Tumor Patients/YUAN Jiantao， ZHAO Dan， LU Yagai. //Chinese and Foreign Medical Research， 2020， 18（17）： -85

[Abstract] Objective： To observe the effect of evidence-based nursing on prevention of long-term indwelling catheter infection in deep vein. Method： A total of 90 tumor patients with long-term indwelling catheter of deep vein in our hospital （October 2017 to October 2019） were randomly divided into the control group （45 cases） and the evidence-based group （45 cases）， in which the control group received routine nursing and the evidence-based group received evidence-based nursing. The incidence of infection and other complications， satisfaction score of nursing and quality of life score were compared between the two groups. Result： The infection rate of the evidence-based group was 2.22%， and the incidence of other complications was 0， which were significantly lower than those of the control group （15.56%， 13.33%）， there were significant differences in two groups （P<0.05）， and the satisfaction score of the evidence-based group was significantly higher than that of the control group （P<0.05）. After the intervention， the WHOQOL-BREF scores of the two groups were significantly higher， among which the WHOQOL-BREF scores of the evidence-based group were significantly higher than that of the control group （P<0.01）. Conclusion： Evidence-based nursing intervention can significantly reduce the incidence of infection and other complications in patients with tumor who have long-term indwelling catheter in deep vein， improve the satisfaction score of patients with nursing， and the effect is ideal.

[Key words] Tumor patients Evidence-based nursing Deep vein Long-term indwelling catheter Infection Prevention effect

First-authors address： Dingzhou Peoples Hospital， Dingzhou 073000， China