Nursing effect of central venous catheter combined with empathy nursing on AIDS patients

The Journal of practical nursing Pub Date : 2020-03-21 DOI:10.3760/CMA.J.CN211501-20190820-02372

Hui Wang, Zhen Ren, Wen-peng Yi, Yuanyuan Cao, Yang Liu, Jinjin Jia

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Abstract

Objective To analyze the nursing effect of central venous catheter (CVC) infusion combined with empathy nursing on AIDS patients. Methods A total of 129 AIDS patients who were hospitalized for infusion at Beijing You'an Hospital, Capital Medical University from June 2014 to June 2016 were selected as the control group. Another 129 AIDS patients from August 2016 to August 2018 were selected as the observation group. The control group was given ordinary infusion needle infusion and conventional psychological nursing, and the observation group was given CVC infusion combined with empathic nursing. The clinical nursing effect of the two groups of patients was analyzed. Results The infusion fluency rate, vascular damage rate, nurse puncture rate, and occupational exposure rate in the observation group were 91.47% (118/129), 10.85% (14/129), 0, 0, and the control group was 82.94% (107/129), 20.93% (27/129), 6.20% (8/129), 6.20% (8/129), the difference between the two groups was statistically significant (χ2 values were 4.188-8.224, P <0.05 or 0.01). After 3 months of intervention, the anxiety and depression (Self-rating Anxiely Scale/Self-rating Depression Scale) scores of the observation group were 47.87 ± 5.43 and 45.02 ± 5.61, which were significantly lower than the control group, which were 51.15 ±6.97 and 49.11 ± 6.48. The difference was statistically significant (t values were 3.320, 4.268, P <0.01). After 3 months of intervention, the treatment compliance rate in the observation group was 92.24% (119/129), which was significantly higher than 83.72% (108/129) in the control group, and the difference was statistically significant (t value was 4.419, P <0.05). After 3 months of intervention, the CD4+ T lymph count and HIV viral load in the observation group were (378.25 ± 49.04)/μl, (2.86 ± 0.53) igIU/ml, and the control group were (342.17 ± 43.47)/μl, (3.13 ± 0.66) igIU/ml, the improvement effect of the observation group was significantly better than that of the control group (t values were 3.559, 2.853, P <0.01). Conclusion CVC infusion combined with empathic nursing can significantly improve the anxiety and depression of AIDS patients, improve treatment compliance and infusion fluency, reduce vascular damage rate, related infection rate, nurse puncture rate and occupational exposure rate, and good nursing effect. Key words: AIDS; Empathy care; Central venous catheter; Compliance; Anxiety depression

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中心静脉置管结合移情护理对艾滋病患者的护理效果

目的分析中心静脉导管(CVC)输注结合共情护理对艾滋病患者的护理效果。方法选取2014年6月至2016年6月在首都医科大学附属北京佑安医院输液治疗的艾滋病患者129例作为对照组。另选取2016年8月至2018年8月的艾滋病患者129例作为观察组。对照组患者给予普通输液针输液加常规心理护理，观察组患者给予CVC输液加共情护理。分析两组患者的临床护理效果。结果观察组输液通畅率、血管损伤率、护士穿刺率、职业暴露率分别为91.47%(118/129)、10.85%(14/129)、0、0，对照组为82.94%(107/129)、20.93%(27/129)、6.20%(8/129)、6.20%(8/129)，两组差异有统计学意义(χ2值为4.188 ~ 8.224,P <0.05或0.01)。干预3个月后，观察组患者焦虑抑郁(焦虑自评量表/抑郁自评量表)得分分别为47.87±5.43和45.02±5.61，显著低于对照组的51.15±6.97和49.11±6.48。差异有统计学意义(t值分别为3.320、4.268,P <0.01)。干预3个月后，观察组治疗依从率为92.24%(119/129)，显著高于对照组的83.72%(108/129)，差异有统计学意义(t值为4.419,P <0.05)。干预3个月后，观察组CD4+ T淋巴计数和HIV病毒载量分别为(378.25±49.04)/μl、(2.86±0.53)igIU/ml，对照组分别为(342.17±43.47)/μl、(3.13±0.66)igIU/ml，观察组改善效果显著优于对照组(T值分别为3.559、2.853,P <0.01)。结论CVC输注配合共情护理可显著改善艾滋病患者的焦虑、抑郁情绪，提高治疗依从性和输注流畅性，降低血管损伤率、相关感染率、护士穿刺率和职业暴露率，护理效果良好。关键词:艾滋病;移情护理;中心静脉导管;合规;焦虑抑郁

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The Journal of practical nursing

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