中心静脉置管引流治疗肝硬化腹水并发症的循证护理干预

The Evidence-Based Nursing Interventions in the Drainage of Ascites Due to Hepatic Cirrhosis Using Central Venous Catheter

摘要: 目的：探讨循证护理在中心静脉置管引流治疗肝硬化腹水并发症的可行性及效果。方法：以30例肝硬化腹水患者作为研究对象，应用循证护理的理论和方法，遵循提出问题，循证支持和循证应用的步骤分析循证护理措施对中心静脉引流所致的并发症的预防效果。结果：本组病例中发生肝昏迷1例，导管相关行感染率为0，非计划性拔管3例。结论：通过循证护理干预在中心静脉置管引流治疗肝硬化腹水并发症的临床应用，促进护理人员利用科学依据的护理实证去指导和解决临床护理问题，有效防止并发症的发生，为患者实施最安全、最有效的系统化的高质量护理。

Abstract: Objective: To investigate the feasibility and effects of the evidence-based nursing in the drainage of ascites due to hepatic cirrhosis via central venous catheter. Methods: 30 hepatic cirrhosis patients with ascites were investigated. The theory and method of nursing were employed. Following the steps of question-raising, evidence-based supports and evidence-based application, the effects of evidence-based nursing measures on the prevention of the complications due to central venous drainage were analyzed steps of evidence-based nursing measures for the prevention of central venous drainage due to complications. Results: In this group, one patient was complicated by he-patic coma and electrolyte disturbances. No patients were complicated by catheter related infection, the unplanned extubation happened to 2 patients. None of the catheters were blocked. Conclusion: The clinical application of evidence-based nursing intervention in the drainage treatment of ascites due to hepatic cirrhosis via central venous catheter can promote nursing staff to guide and solve the clinical nursing problems using scientific nursing evidences, to effectively prevent complications, and to provide the safest and best systemic nursing to patients.