血液肿瘤患者经外周穿刺置入中心静脉导管院外维护情况调查

A survey of peripherally inserted central catheter maintenance in discharged patients with hematologic cancer

目的调查丽水地区血液肿瘤患者经外周穿刺置入中心静脉导管(peripherally inserted central cathter,PICC)带管离院期间导管维护的现状,为改善导管维护质量提供依据。方法通过发放自行设计的PICC维护调查表,对136例带管离院患者进行调查,分析导管发生意外的原因。结果血液肿瘤PICC带管离院患者导管异常情况以穿刺口感染及堵塞为主,不同年龄,自理能力,维护成本,文化程度和带管时间的患者导管异常发生率差异有统计学意义(P<0.05)。结论血液肿瘤患者离院期间PICC导管异常情况以感染及堵塞为主,有部分自理能力,维护成本高,年龄大,文化程度低的患者在化疗间歇期PICC导管容易出现异常情况。因此优化PICC维护服务流程、开展各种形式的PICC维护方式,减低PICC导管维护成本,对提高血液肿瘤患者PICC管的维护质量具有积极意义。

Objective To investigate the maintenance status of peripherally inserted central catheter（PICC） in discharged patients with hematologic cancer in Lishui area,and provide empirical evidence for improving the quality of catheter maintenance. Methods Totally 136 discharged patients with PICC were investigated with a self-designed questionnaire. The causes of catheter adverse events were analyzed. Results The main catheter adverse events were puncture infection and blockage. The possible risk factors of catheter adverse events were old age,poor economic condition,low level of self-care ability,low level of educational background and duration of PICC. Conclusion The main catheter adverse events in discharged patients with PICC are puncture infection and blockage. It is suggested to perfect social insurance system and optimize the service process to improve PICC maintenance.