风险管理联合积极心理护理预防PICC置管患者机械性静脉炎风险的价值

目的研究风险管理联合积极心理护理在预防经外周静脉置入中心静脉导管（PICC）置管患者机械性静脉炎风险中的价值。 方法选择2020年5月至2020年10月首都医科大学附属北京世纪坛医院收治的116例PICC置管的肿瘤患者作为研究对象，将其随机分为观察组（58例）和对照组（58例）。对照组按照PICC置管的常规护理方法进行护理，观察组在对照组的基础上使用风险管理联合积极心理护理。记录2组PICC置管时间、一次穿刺成功率、一次置管成功率；记录置管后1周两组机械性静脉炎发生情况。 结果与对照组相比，观察组置管操作时间较短（P＜0.05）；与对照组相比，观察组机械性静脉炎发生率较低，（P＜0.05）。 结论采用风险管理联合积极心理护理的方案对PICC患者进行护理能降低机械性静脉炎的发生率，具有推广价值。

Value of risk management combined with positive psychological nursing in preventing risk of mechanical phlebitis in patients with peripherally inserted central catheterization

ObjectiveTo evaluate the value of risk management combined with positive psychological care in preventing the risk of mechanical phlebitis in patients with peripherally inserted central catheterization (PICC). MethodsA total of 116 patients with PICC admitted to Beijing Shijitan Hospital Affiliated to Capital Medical University from May 2020 to October 2020 were selected as the study subjects, and they were randomly divided into an observation group (58 cases) and a control group (58 cases). The control group was nursed according to the conventional nursing method for PICC, and the observation group was nursed based on the risk management combined with positive psychological nursing prevention. PICC time, success rate of one puncture, and success rate of one catheterization were recorded in the two groups. The occurrence of mechanical phlebitis in the two groups was recorded 1 week after catheterization. ResultsCompared with the control group, the operation time of catheterization was significantly shorter (P＜0.05), and the incidence of mechanical phlebitis in the observation group was significantly lower (P＜0.05). ConclusionRisk management combined with positive psychological nursing can reduce the incidence of mechanical phlebitis in patients with PICC.