袁建濤 趙丹 盧亞改

【摘要】 目的：觀察腫瘤患者實(shí)施循證護(hù)理對(duì)深靜脈長(zhǎng)期留置導(dǎo)管感染的預(yù)防效果。方法：選取筆者所在醫(yī)院（2017年10月-2019年10月）收治的長(zhǎng)期留置深靜脈導(dǎo)管腫瘤患者總計(jì)90例，隨機(jī)數(shù)字法分成對(duì)照組（45例）與循證組（45例），其中對(duì)照組實(shí)施常規(guī)護(hù)理，循證組實(shí)施循證護(hù)理。對(duì)照兩組感染及其他并發(fā)癥發(fā)生率，患者對(duì)護(hù)理的滿意度評(píng)分及生活質(zhì)量評(píng)分。結(jié)果：循證組感染率為2.22%，其他并發(fā)癥發(fā)生率為0，明顯少于對(duì)照組的15.56%、13.33%（P<0.05），且循證組患者對(duì)護(hù)理的滿意度評(píng)分明顯高于對(duì)照組（P<0.05），干預(yù)后兩組WHOQOL-BREF評(píng)分明顯升高，其中循證組的WHOQOL-BREF各項(xiàng)評(píng)分明顯高于對(duì)照組（P<0.01）。結(jié)論：在深靜脈長(zhǎng)期留置導(dǎo)管的腫瘤患者中，實(shí)施循證護(hù)理干預(yù)，可明顯減少患者感染及其他并發(fā)癥發(fā)生率，提高患者對(duì)護(hù)理的滿意度評(píng)分，效果理想。

【關(guān)鍵詞】 腫瘤患者 循證護(hù)理 深靜脈 長(zhǎng)期留置導(dǎo)管 感染 預(yù)防效果

doi：10.14033/j.cnki.cfmr.2020.17.034 文獻(xiàn)標(biāo)識(shí)碼 B 文章編號(hào) 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