Journal of Advances in Clinical Nursing

Objective This article mainly analyzes and studies the clinical effectiveness of risk assessment based nursing interventions for patients with central venous catheters inserted through peripheral veins. Methods This study will select 80 patients with central venous catheters inserted through peripheral veins in our hospital from August 2022 to August 2023. Different nursing methods will be selected according to the subjective wishes of the patients for grouping. 40 patients in the control group will receive conventional nursing methods, and 40 patients in the observation group will receive risk assessment based nursing methods. The risk scores of deep vein thrombosis in the upper limbs of the two groups of patients after nursing will be compared The incidence of deep vein thrombosis in the upper limbs and satisfaction with nursing work were investigated, and the clinical effectiveness of risk assessment based nursing interventions for patients with central venous catheters inserted through peripheral veins was ultimately explored. Results Before nursing, there was no significant difference in the overall scores of blood indicators, catheter recovery, and quality of life between the two groups of patients after nursing. There was no difference in the risk of deep vein thrombosis in the upper limbs (P>0.05). After nursing, the risk score of deep vein thrombosis in the upper limbs of the observation group was significantly lower than that of the control group, with statistical significance (P<0.05); The number of patients with upper limb deep vein thrombosis in the observation group was significantly lower than that in the control group, and the overall incidence rate was lower, with statistical significance (P<0.05); The satisfaction of the observation group with nursing work was significantly higher than that of the control group, with statistical significance (P<0.05). Conclusion In summary, when nursing patients with central venous catheters inserted through peripheral veins, compared to conventional nursing methods, adopting a risk assessment based grading nursing approach can reduce the risk of deep vein thrombosis in the upper limbs, lower the actual incidence rate, and improve patient satisfaction, which can be applied and promoted.

Inserting a central venous catheter through peripheral veins; Upper limb deep vein thrombosis; Routine care; Risk assessment based graded nursing