预见性护理在持续腰大池引流中的应用.pdfVIP

2013 年 4 月第 20 卷第 11 期 护理研究 预见性护理在持续腰大池引流中的应用 刘励漩 广州 医学院第 一 附属 医院外科 广 东 广州 510120 [摘要] 目的 探讨 预见性护理在持续腰大池引流中的临床效果 O 方法 应用随机数字 法 将 122 例持续腰大池引 流患者分为观察组 64 例 对照组 58 例 O 对照组采用常规护理 观察组针对患者存 在引流管脱落 堵塞 过度 引 流的风 险实施 预见性护理 O 结果 观察组患者在缩短 引流与发热 的天数方 面优 于对照组 且降低 了引流管的脱 管 堵塞 的发生率及引流过多等并发症的发生率 两组间比 较 差异均有统计学意义 P 0.05 O 结论 以先防 后治为 原则 的预见性护理不仅 提高了持续腰大池引流的成功率 减少了并发症的发生 同时提升 了患者的整体 护理质量 提高了患者 和家属 的满 意度 O [关键词] 预见性护理 持续腰大池引流 应用 并发症 中图分类号 文献标识码 文章编号 [ ] R473 [ ] B [ ] 1674-4721 2013 04 b -0139-02 Application of foreseeable nursing for patients treated in continuous lum bar cerebrospinal fluid drainage LIU Lixuan Department of Surgery, the First AffiIiated ~ospitaI of Guangzhou MedicaI SchooI, Guangzhou 510120, China [abstract] Objective To expIore the cIinicaI effect for foreseeabIe nursing in the treatment of continue Iumbar cere brospinaI fIuid drainage. Methods One hundred and twenty-two cases of patients with continue Iumbar cerebrospinaI fIuid drainage were divided into controI group (64 cases) and experimentaI group (58 cases), the controI group was given with conventionaI nursing intervention, and the experimentaI group was given with foreseeabIe nursing according to the drainage tube off, cIogging, excessive drainage risk on patients. Results The shortened days of drainage and fever for the experimentaI group were obviousIy better than that of controI group, It aIso reduced the incidence of drainage tube detached, cIogging and drainage excessive incidence of compIications. Compared between the two groups, the differe