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.pdf

Nursing Science 护理学, 2014, 3, 79-82 Published Online July 2014 in Hans. /journal/ns /10.12677/ns.2014.33017 The Evidence-Based Nursing Interventions in the Drainage of Ascites Due to Hepatic Cirrhosis Using Central Venous Catheter Xiaona Kang Department of Gastroenterology, First Affiliated Hospital of Medical College of Xi’an Jiaotong University, Xi’an Email: kxn889@126.com th th rd Received: May 27 , 2014; revised: Jun. 10 , 2014; accepted: Jun. 23 , 2014 Copyright © 2014 by author and Hans Publishers Inc. This work is licensed under the Creative Commons Attribution International License (CC BY). /licenses/by/4.0/ 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 pa- tients 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 infec- tion, the unplanned extubation happened to 2 patients. None of the catheters were blocked. Con- clusion: 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 clin