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流程优化在防治肝硬化患者泵钾所致静脉炎的应用 被引量:2

Application of process optimization to prevention and treatment of phlebitis from potassium pump in patients with liver cirrhosis
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摘要 目的:探讨流程优化在防治肝硬化患者泵钾所致静脉炎的临床应用效果。方法:采用前后对照,选取2018年3月1日~7月31日肝硬化伴低钾血症需泵钾的25例患者作为对照组,采用传统的护理方法;选取2018年8月1日~12月31日的25例患者作为观察组,采用优化的流程进行护理,比较两组患者静脉炎的发生率、疼痛程度及患者满意度的情况。结果:观察组患者泵钾治疗过程中静脉炎的发生率20.0%(对照组76.0%);观察组患者疼痛发生率28.0%(对照组88.0%),观察组低于对照组(P<0.05),观察组患者满意度96.0%(对照组36.0%),观察组较对照组提高(P<0.05)。结论:对肝硬化患者泵钾过程采用流程优化后,降低了静脉炎的发生率及疼痛程度,提高了患者满意度。 Objective: To assess the clinical effect of process optimization in the prevention and treatment of phlebitis caused by potassium pump in patients with liver cirrhosis. Methods :Twenty-five patients of liver cirrhosis concomitant with hypokalemia required potassium administration were included in the control group from March 1 to July 31 of 2018,and another 25 similar patients were recruited as observational subjects(observational group) from August 1 to December 31 of 2018.Patients in the former group received conventional nursing procedures,while those in the latter group were given optimized nursing procedures.Then the two groups were compared regarding incidences of phlebitis,degree of pain and patient satisfaction. Results :The incidence of phlebitis and pain was respectively 20.0% and 28% for the observational group,and 76.0% and 88.0% for the control group.The difference was significant( P< 0.05).Patients in the observational group had higher satisfaction rate than those in the control group(96% vs .36%, P< 0.05). Conclusion :Process optimization can significantly reduce the incidence of phlebitis and severity of pain as well as improve the satisfaction of patients with liver cirrhosis undergoing potassium pump.
作者 朱加梅 奚卫珍 张先翠 ZHU Jiamei;XI Weizhen;ZHANG Xiancui(Department of Infectious Diseases,The First Affiliated Hospital of Wannan Medical College,Wuhu 241001,China)
出处 《皖南医学院学报》 CAS 2019年第4期403-406,共4页 Journal of Wannan Medical College
基金 安徽省高校人文社会科学研究项目(SK2017A0215)
关键词 肝硬化 静脉泵钾 静脉炎 流程优化 cirrhosis intravenous potassium pump phlebitis process optimization
作者简介 朱加梅(1976-),女,主管护师,(电话)13866356729,(电子信箱)843254830@qq.com;通信作者:奚卫珍,女,副主任护师,(电子信箱)984303137@qq.com.
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