高玉兰　官文娟

【摘要】 目的：探討预防静脉留置针致静脉炎的护理干预措施及其效果。方法：选取2015年11月11日-2016年11月11日到本院进行住院治疗并使用静脉留置针的患者120例，运用随机数字表法将其分为试验组和对照组，各60例。对照组采用常规静脉留置针护理方法，试验组在常规护理基础上给予强化护理干预措施。两组患者的研究干预时间均为1个月。比较两组一次穿刺成功率、静脉留置针保留时间、静脉炎发生情况、穿刺侧肢疼痛程度及护理满意度。结果：试验组置管方式一次成功穿刺率、护理满意度均高于对照组，静脉留置针保留时间长于对照组，静脉炎发生率和穿刺侧肢疼痛发生率均低于对照组，差异均有统计学意义（P<0.05）。结论：对护理人员进行集中、专业的静脉留置针操作和理论培训，加强输液不良反应静脉炎的风险意识，有利于提高患者的置管方式一次成功穿刺率；有效的封管方式及导管护理方法、输液顺序的合理安排等护理干预有利于提高静脉留置针的保留时间；喜疗妥的运用减轻了患者穿刺侧肢疼痛，患者的静脉炎发生情况转好，这些措施提高了护理满意度，有利于护患关系的改善，促进优质护理。

【关键词】 静脉留置针； 静脉炎； 护理干预

Nursing Intervention and Effect of Preventing Phlebitis Caused by Vein Indwelling Needle/GAO Yu-lan，GUAN Wen-juan.//Medical Innovation of China，2017，14（15）：075-078

【Abstract】 Objective：To explore the nursing intervention and its effect of phlebitis caused by vein indwelling needle.Method：From November 11，2015 to November 11，2016，120 patients who hospitalized and treated with intravenous indwelling needle were selected，they were divided into the experimental group and the control group according to random number table method，60 cases in each group.The control group was taken with the routine nursing method of intravenous indwelling needle，the experimental group was taken with intensive nursing interventions on the basis of routine nursing.The time of intervention between the two groups was 1 month.The success rate of puncture，the retention time of intravenous indwelling needle，the occurrence and incidence of phlebitis，the degree of pain and nursing satisfaction of two groups were compared.Result：The first successful puncture rate and nursing satisfaction of experimental group were higher than those of the control group，the venous indwelling needle retention time was longer than that of the control group，the incidence rate of phlebitis and puncture side limb pain were lower than those of the control group，the differences were statistically significant（P<0.05）.Conclusion：The intensive and professional intravenous indwelling needle operation and theoretical training for nurses to strengthen the awareness of the risk of phlebitis and infusion adverse reactions are conducive to improving the patients catheterization method of a successful puncture rate；effective sealing methods and catheter care methods，the rational arrangement of infusion sequence and other nursing intervention are conducive to improve retention time of intravenous indwelling needle；using Hirudoid can reduce the pain of the limb puncture，occurrence of phlebitis gets better，such measures improve the care satisfaction and the relationship between patients and nurses and promote quality care.

【Key words】 Intravenous indwelling needle； Phlebitis； Nursing intervention

First-authors address：The Traditional Chinese Medical Hospital in Baoan District of Shenzhen City，Shenzhen 518100，China

doi：10.3969/j.issn.1674-4985.2017.15.022

在临床上，静脉留置针由于操作简单，相对一次性输液针留置时间更长，穿刺成功率更高，且不受体位影响，可随体位改变而改变，便于肢体运动，为患者的临床用药治疗及抢救争取了更多时间与机会，受到医务人员及患者的欢迎并得到广泛运用[1]。静脉留置针虽然在一定程度上可以减轻患者痛苦[2]，但是患者自身及医院因素等都可能导致静脉炎发生[3]，比如血管较滑、弹性差等因素。静脉炎一般发生在穿刺置管后的3 d内[4]，早期多为机械性静脉炎，其增加患者的痛苦及医疗成本，不利于患者的预后[5]，为患者的静脉再次穿刺增加难度。本院为了降低静脉留置针患者的静脉炎的发生率，在常规护理基础上给予强化护理干预措施，对患者进行干预，取得良好效果，现报道如下。……