Risk factors analysis and nursing strategy of central venous catheter-related thrombosis
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摘要: 目的 探讨中心静脉置管患者相关血栓形成的危险因素,并在此基础上提出相应的护理对策,旨在降低中心静脉置管相关血栓的形成。 方法 回顾性分析2015年1—12月丽水市人民医院收治的369例围术期留置中心静脉导管患者病例资料。根据置管相关血栓情况,分成血栓组(128例)和无血栓组(241例)。制作置管血栓危险因素调查表,并收集患者临床资料,包括:年龄、性别、肿瘤种类、置管部位、预防性抗凝、活动度因素资料,采用单因素和Logistic分析对患者发生置管相关血栓的危险因素进行分析,并在此基础上提出相应的护理对策。 结果 369例患者中128例患者发生了置管相关血栓,发生率高达34.7%。单因素分析显示:性别、年龄、肿瘤类型、置管部位、活动度是患者发生置管相关血栓的单因素危险因素。Logistic分析显示:性别、年龄、肿瘤类型、置管部位、活动度是患者发生置管相关血栓的独立危险因素。因此,针对危险因素对患者进行护理,可预防患者发生置管相关血栓。 结论 围术期留置中心静脉导管患者易发生置管相关血栓,而性别、年龄、肿瘤类型、置管部位、活动度是患者发生置管相关血栓的危险因素。应针对危险因素,制定相应的护理策略,以降低中心静脉置管相关血栓的形成。Abstract: Objective To investigate the risk factors of central venous catheter-related thrombosis and raise the nursing strategy based on risk factors,so as to reduce the incidence of central venous catheter-related thrombosis. Methods Total369 cases of patients with central venous catheter in perioperative period from January,2015 to December,2015 in our hospital were retrospectively analyzed. According to catheter-related thrombosis,patients were divided into thrombus group(128 cases) and no-thrombosis group(241 cases). The risk factors questionnaire including age,gender,tumor type,insertion site,preventive anticoagulant and activity factor was made,and clinical data of patients were selected and the risk factors of catheter-related thrombosis were analyzed by univariate analysis and Logistic analysis. And corresponding nursing strategies were analyzed based on these results. Results In all 369 cases patients,128 cases patients were with catheter related thrombosis,with a rate of 34. 7%. Univariate analysis showed that the gender,age,tumor type,insertion site,activity degree were univariate risk factors of patients with catheter-related thrombosis. And Logistic analysis showed that gender,age,tumor type,insertion site,activity degree were independent risk factors of patients with catheter-related thrombosis. All the nursing cares based on the risk factors would prevent catheter related thrombosis. Conclusion The catheterrelated thrombosis easily occur in the patients with central venous catheter in perioperative period. The gender,age,tumor type,insertion site,activity degree were risk factors of patients with catheter-related thrombosis. Nursing based on risk factors should be carried out to prevent catheter related thrombosis.
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Key words:
- Central venous catheter /
- Thrombosis /
- Risk factors /
- Nursing
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