黄秋红 卢佩兰 刘文婷

【摘要】 目的：探讨早期护理干预在老年患者静脉留置针致静脉炎中预防护理效果。方法：选取2018年6-12月笔者所在医院静脉留置针老年患者120例，将其随机分为对照组及观察组，各60例。对照组采用常规护理，观察组应用早期护理干预，比较两组预防护理效果。结果：观察组静脉炎发生率为5.00%，明显低于对照组的20.00%，差异有统计学意义（P<0.05）。观察组护理总满意度为96.67%，明显高于对照组的81.67%，差异有统计学意义（P<0.05）。结论：早期护理干预在老年患者静脉留置针致静脉炎的预防护理效果显著，护理满意度高，值得在临床中推广应用。

【关键词】 早期护理干预 老年 静脉留置针 静脉炎

doi：10.14033/j.cnki.cfmr.2019.30.036 文献标识码 B 文章编号 1674-6805（2019）30-00-02

[Abstract] Objective： To explore the effect of early nursing intervention in preventing phlebitis caused by venous indwelling needle in elderly patients. Method： A total of 120 elderly patients with venous indwelling needle in our hospital from June to December 2018 were selected and randomly divided into the control group and the observation group， 60 cases in each group. The control group was given routine nursing， while the observation group was given early nursing intervention. The preventive nursing effect of the two groups was compared. Result： The incidence of phlebitis in the observation group was 5.00%， which was significantly higher than 20.00% in the control group， the difference was statistically significant （P<0.05）. The total nursing satisfaction of the observer was 96.67%， which was significantly higher than 81.67% of the control group， the difference was statistically significant （P<0.05）. Conclusion： Early nursing intervention in elderly patients with phlebitis caused by venous indwelling needle has remarkable preventive nursing effect and has high nursing satisfaction. It is worth popularizing and applying in clinical practice.

[Key words] Early nursing intervention Elderly Venous indwelling needle Phlebitis

First-authors address： Jiangmen Third Peoples Hospital， Jiangmen 529000， China

老年患者在臨床治疗中，在短期静脉治疗、营养、抢救等方面多会选用静脉留置针，可以减少穿刺次数，避免反复穿刺对患者造成损伤，同时应用静脉留置针可以同时进行多种药物的输液，可以提高治疗效率，因为对患者的穿刺次数少，可以提高患者的治疗依从性[1]。但是因为老年患者的血管弹性降低，微循环功能减低等，在使用静脉留置针后容易出现静脉炎等并发症，发生静脉炎时，穿刺部位会出现严重的红肿、硬结、并表现出明显的疼痛，直接影响治疗效果，同时因为静脉炎的发生，在疾病进展后，严重时会危及生命[2-3]。因此，对留置静脉留置针的老年患者需要给予必要的护理干预，但是临床中应用常规护理效果并不显著。本研究将早期护理干预应用于老年患者静脉留置针护理干预中，能减少静脉炎的发生，现报道如下。

1 资料与方法

1.1 一般资料

选择2018年6-12月笔者所在医院静脉留置针住院老年患者120例，纳入标准：静脉输液时使用静脉留置针，一次穿刺成功的患者。……