Clinical effectiveness of graded nursing intervention based on risk assessment in patientswith central venous catheters inserted through peripheral veins
经外周静脉置入中心静脉导管患者基于风险评估分级护理干预的临床有效性研究

摘要

目的 本文主要对经外周静脉置入中心静脉导管患者基于风险评估分级护理干预的临床有效性进行分析研究。方法 本次探究将选取在2022年8月~2023年8月来我院的80例经外周静脉置入中心静脉导管患者，根据患者主观意愿选择不同护理方式进行分组，40例对照组患者应用常规护理方式，40例观察组患者应用基于风险评估分级护理方式，对比两组患者护理后上肢深静脉血栓风险评分情况、上肢深静脉血栓发生率情况及护理工作满意度情况，最终完成经外周静脉置入中心静脉导管患者基于风险评估分级护理干预的临床有效性探究。结果 护理前，两组患者护理后血液指标数据情况、置管恢复情况、生活质量情况整体评分无明显差异，上肢深静脉血栓风险无差异（P＞0.05），护理后，观察组上肢深静脉血栓风险评分明显低于对照组，有统计意义（P＜0.05）；观察组患者发生上肢深静脉血栓人数明显少于对照组，且总发生率较低，有统计意义（P＜0.05）；观察组患者对护理工作满意度明显高于对照组，有统计意义（P＜0.05）。结论 综上所述，在对经外周静脉置入中心静脉导管患者展开护理工作时，对比常规护理方式来讲，采用基于风险评估分级护理方式可降低上上肢深静脉血栓发生风险，降低实际发生率，提高患者满意度，可应用推广。

Abstract

Objective This article mainly analyzes and studies the clinical effectiveness of risk assessment based nursing interventions for patients with central venous catheters inserted through peripheral veins.
Methods This study will select 80 patients with central venous catheters inserted through peripheral veins in our hospital from August 2022 to August 2023. Different nursing methods will be selected according to the subjective wishes of the patients for grouping. 40 patients in the control group will receive conventional nursing methods, and 40 patients in the observation group will receive risk assessment based nursing methods. The risk scores of deep vein thrombosis in the upper limbs of the two groups of patients after nursing will be compared The incidence of deep vein thrombosis in the upper limbs and satisfaction with nursing work were investigated, and the clinical effectiveness of risk assessment based nursing interventions for patients with central venous catheters inserted through peripheral veins was ultimately explored.
Results Before nursing, there was no significant difference in the overall scores of blood indicators, catheter recovery, and quality of life between the two groups of patients after nursing. There was no difference in the risk of deep vein thrombosis in the upper limbs (P>0.05). After nursing, the risk score of deep vein thrombosis in the upper limbs of the observation group was significantly lower than that of the control group, with statistical significance (P<0.05); The number of patients with upper limb deep vein thrombosis in the observation group was significantly lower than that in the control group, and the overall incidence rate was lower, with statistical significance (P<0.05); The satisfaction of the observation group with nursing work was significantly higher than that of the control group, with statistical significance (P<0.05).
Conclusion   In summary, when nursing patients with central venous catheters inserted through peripheral veins, compared to conventional nursing methods, adopting a risk assessment based grading nursing approach can reduce the risk of deep vein thrombosis in the upper limbs, lower the actual incidence rate, and improve patient satisfaction, which can be applied and promoted.