肿瘤患者实施循证护理对深静脉长期留置导管感染的预防效果

袁建涛 赵丹 卢亚改

【摘要】 目的：觀察肿瘤患者实施循证护理对深静脉长期留置导管感染的预防效果。方法：选取笔者所在医院（2017年10月-2019年10月）收治的长期留置深静脉导管肿瘤患者总计90例，随机数字法分成对照组（45例）与循证组（45例），其中对照组实施常规护理，循证组实施循证护理。对照两组感染及其他并发症发生率，患者对护理的满意度评分及生活质量评分。结果：循证组感染率为2.22%，其他并发症发生率为0，明显少于对照组的15.56%、13.33%（P<0.05），且循证组患者对护理的满意度评分明显高于对照组（P<0.05），干预后两组WHOQOL-BREF评分明显升高，其中循证组的WHOQOL-BREF各项评分明显高于对照组（P<0.01）。结论：在深静脉长期留置导管的肿瘤患者中，实施循证护理干预，可明显减少患者感染及其他并发症发生率，提高患者对护理的满意度评分，效果理想。

【关键词】 肿瘤患者 循证护理 深静脉 长期留置导管 感染 预防效果

doi：10.14033/j.cnki.cfmr.2020.17.034 文献标识码 B 文章编号 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