个性化护理在行经外周静脉穿刺中心静脉置管术的急性白血病患者中的应用 |
| 张琴 |
| 川北医学院附属医院，四川南充，637000 |
| 摘要：目的 分析个性化护理干预方案用于行经外周静脉穿刺中心静脉置管术的急性白血病患者护理期间对其置管时间、疾病不确定感、舒适度、护理理论与实践培训成绩产生的影响。方法 选取于本院2023 年 12 月-2024 年 11 月时间段接受治疗的 50 例行经外周静脉穿刺中心静脉置管术的急性白血病患者进行相关观察，将所选用的患者按照随机抽签的方式将其分组观察，对照组患者主要进行常规护理，观察组患者主要进行个性化护理干预方案，比较不同护理模式下患者的置管时间、疾病不确定感、舒适度、护理理论与实践培训成绩。结果 观察组患者在个性化护理干预下可以发现其置管时间与疾病不确定感等指标明显优于对照组患者的指标（P＜0.05）；观察组患者在护理后其舒适度指标的表现也明显优于对照组患者（P＜0.05）；观察组护理人员在个性化护理后理论知识、堵管处理、更换敷贴与出血护理等相关成绩指标均明显优于对照组（P＜0.05）。结论 个性化护理模式则是以满足患者个体需求的护理方案，将其用于行经外周静脉穿刺中心静脉置管术的急性白血病患者护理期间具有明显的优势，可以延长患者治疗期间的导管留置时间，并有效改善护理质量，促进患者获得较为的康复效果。 |
| 关健词：急性白血病；个性化护理；经外周静脉穿刺中心静脉置管术；置管时间；舒适度 |
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| Application of personalized nursing in acute leukemia patients with central venous catheterization through peripheral venous puncture |
| Qin Zhang |
| Affiliated Hospital of North Sichuan Medical College, Nanchong Sichuan 637000, China |
| Abstract：Objective To analyze the effects of personalized nursing intervention protocols on catheter retention duration, disease uncertainty perception, patient comfort levels, and nursing theory-practice training performance in acute leukemia patients undergoing peripherally accessed central venous catheterization (CVC) during care. Methods A total of 50 acute leukemia patients who received CVC procedures at our hospital between December 2023 and November 2024 were selected for observation. Participants were randomly assigned to either a control group receiving standard care or an observation group implementing personalized interventions. Results The observation group demonstrated significantly better catheter retention duration and reduced disease uncertainty perception compared to the control group (P<0.05). Post-treatment, the observation group also showed markedly improved comfort levels (P<0.05). Nursing staff in the observation group achieved superior performance in theoretical knowledge, catheter blockage management, dressing changes, and hemorrhage care compared to control group members (P<0.05). Conclusion Personalized nursing protocols tailored to individual patient needs demonstrate distinct advantages for acute leukemia patients undergoing CVC procedures. These interventions not only prolong catheter retention duration but also enhance nursing quality, thereby promoting better rehabilitation outcomes. |
| Keywords：acute leukemia；personalized nursing；peripherally inserted central venous catheterization；catheter time；comfort |
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