Nursing research on the selection and maintenance of venous access in bone marrow transplant patients
骨髓移植患者静脉通路的选择与维护的护理研究

摘要

目的 分析骨髓移植患者静脉通路的选择与维护的护理。方法 将2022年1月-2023年12月内就诊的骨髓移植者80例为研究对象，所有患者均采取颈内静脉置管，按照护理不同分40例对照组常规护理，40例观察组实施针对性优质护理。对比两组患者静脉通路风险事件发生概率，包含有感染、堵塞、脱出。对比两组患者护理后的导管留置时间和满意度。结果 观察组的患者静脉通路风险事件低于对照组，观察组的患者导管留置时间和满意度均优于对照组，指标对比有统计学意义（P﹤0.05）。结论 骨髓移植患者静脉通路的选择首选颈内静脉置管，其护理集中在预防感染、防止置管脱出和堵塞等方面。

Abstract

Objective To analyze the selection and maintenance of venous access in bone marrow transplant patients.
Methods A total of 80 bone marrow transplant recipients treated between January 2022 and December 2023 were included in the study. All patients underwent internal jugular venous catheterization. Based on different nursing approaches, 40 cases were assigned to the control group receiving routine care, while 40 cases were assigned to the observation group receiving targeted high-quality nursing. The incidence of venous access-related adverse events, including infection, occlusion, and dislodgement, was compared between the two groups. Additionally, the duration of catheter retention and patient satisfaction were compared.
Results The observation group exhibited a lower incidence of venous access-related adverse events compared to the control group. Both catheter retention duration and patient satisfaction were superior in the observation group, with statistically significant differences (P < 0.05).
Conclusion   For bone marrow transplant patients, the internal jugular venous catheterization is the preferred choice for venous access, with nursing care focusing on infection prevention, preventing catheter dislodgement and occlusion.