Observations on the application of two modalities of local ice and deep inspirationin indwelling implantable infusion ports
局部冰敷与深吸气两种方式在留置植入式输液港中的应用观察

摘要

目的 本文主要是针对需行输液港输液的肿瘤患者，在留置输液港针头时应用循证护理的实际临床效果对局部冰敷和深吸气后屏气两种方式进行对比分析。方法 选择近半年在我院需行输液港输液的肿瘤患者作为研究对象，按照时间分段法分为对照组130例和观察组124例，对照组给予冰敷后1分钟再采用常规统一规范操作流程穿刺法进行蝶翼无损伤针穿刺，观察组在常规穿刺前叫患者深吸气后屏气再按常规统一规范操作流程穿刺法进行穿刺；采用数字强度分级法（NRS评分）进行疼痛评价，观察比较两组患者的疼痛情况和护理满意度。结果 对比两组患者在留置输液港针头时的疼痛情况无差别，但是观察组在对肿瘤患者在留置输液港针头中的护理满意度上有显著优势，组间差异有统计学意义（P<0.05）。结论 护理后局部冰敷和深吸气后屏气在留置输液港针头时患者的疼痛情况无差别，但是深吸气后屏气的方法更简单更方便更安全，能够有效提升患者及家属的满意度，减少不良反应的发生，提高整体护理质量，也显著改善了患者的生活质量，值得在临床上推广。

Abstract

Objective This paper mainly focuses on the comparison and analysis of the actual clinical effects of applying evidence-based nursing care in the retention of implantable infusion port needles in oncology patients who need to undergo infusion port infusion in terms of the two modes of local icing and deep inhalation followed by breath-holding.
Methods The oncology patients who need to perform infusion port infusion in our hospital in the past six months were selected as the study object, and were divided into 130 cases in the control group and 124 cases in the observation group according to the time segmentation method. The control group was given ice packs for 1 minute before puncturing with the butterfly wing non-invasive needle using the conventional unified standard operation procedure puncture method, and the observation group called the patients to hold their breaths after deep inhalation before the routine puncture before the puncture was carried out in accordance with the conventional unified standard operation procedure puncture method; The numerical intensity grading method (NRS score) was used for pain evaluation, and the pain and nursing satisfaction of patients in the two groups were observed and compared.
Results There was no difference in pain when comparing the two groups of patients in indwelling infusion port needles, but the observation group had a significant advantage in nursing satisfaction of oncology patients in indwelling infusion port needles, and the difference between the groups was statistically significant (P<0.05).
Conclusion   There is no difference in the pain of patients in the retention of infusion port needles between local ice packs after nursing care and breath holding after deep inhalation, but the method of breath holding after deep inhalation is simpler, more convenient and safer, which can effectively enhance the satisfaction of patients and their families, reduce the incidence of adverse reactions, and improve the overall quality of nursing care, as well as significantly improve the quality of life of patients, which is worthy of being promoted in the clinic.