Application effect evaluation of fine nursing in the success rate of ultrasound-guided PICC puncture
精细化护理在超声引导下PICC一次穿刺成功率中的应用效果评价

摘要

目的 探讨超声引导穿刺术中精细化护理干预的临床应用价值。方法 选取2022年1月至2023年1月期间在本院行超声引导穿刺治疗的94例患者作为研究对象，采用随机分组方式将其分为对照组和观察组，对比两组护理模式的实施成效。结果 观察组患者的治疗满意度明显优于对照组，差异具有统计学意义（P＜0.05）。此外，观察组首次穿刺成功概率显著高于对照组（P<0.05），操作时间更短（P<0.05）。观察组并发症发生率更低（P<0.05），疼痛评分显著改善（P<0.05）。观察组血管评估准确率与导管留置达标率均显著优于对照组（P<0.05）。结论 当患者接受超声引导下穿刺术进行检查的时候对其展开高效的精细化护理干预能够帮助其改善不良心态，使患者能够更加积极的配合医护人员的工作，提高穿刺的舒适度和成功率，患者的护理满意度也显著提升。

Abstract

Objective To explore the clinical application value of fine nursing intervention in ultrasound-guided puncture.
Methods 94 patients who underwent ultrasound-guided puncture in our hospital from January 2022 to January 2023 were selected as the research objects and randomly divided into the control group and the observation group. The implementation effect of the two groups of nursing mode was compared.
Results the treatment satisfaction of the observation group was significantly better than that of the control group, the difference was statistically significant (P<0.05). In addition, the first puncture success probability of the observation group was significantly higher than that of the control group (p<0.05), and the operation time was shorter (p<0.05). The incidence of complications in the observation group was lower (p<0.05), and the pain score was significantly improved (p<0.05). The accuracy of vascular assessment and the standard rate of catheter indwelling in the observation group were significantly better than those in the control group (p<0.05).
Conclusion   when patients receive ultrasound-guided puncture examination, the implementation of effective and refined nursing intervention can help them improve their bad mentality, enable patients to more actively cooperate with the work of medical staff, improve the comfort and success rate of puncture, and significantly improve the nursing satisfaction of patients.