早期护理干预防治PICC静脉炎的临床观察

Clinical observation of early nursing intervention on prevention of post PICC inser- tion phlebitis

目的探讨早期护理干预对于防治PICC置管后静脉炎的效果。方法将从2007年11月-2008年11月收治的98例确诊为恶性肿瘤需行化疗给予PICC置管的患者随机分为两组，给予早期护理干预的为实验组50例，给予常规护理的为对照组48例，根据美国静脉输液护理学会静脉炎程度判断标准进行临床评价，观察两组患者置管后7d内机械性静脉炎的发生率。结果实验组与对照组静脉炎的发生率分别为10％（5／50）和25％（12／48），实验组静脉炎的发生率低于对照组（Х^2=3．8431，P〈0．05）。结论早期护理干预可以降低PICC置管后静脉炎的发生率，减轻了患者的痛苦，使患者能顺利完成化疗。

Objective To cvaluate the effect of early nursing intervention on the prevention of post PICC insertion phlebitis. Methods 98 cancer patients receiving chemotherapy and PICC insertion from Nov. 2007 to Nov. 2008. were divided into experimental group （ n = 50） and control group （ n = 48 ） by randomly. The patients of experimental group were received early nursing intervention, while the patients in control group were received regular nursing. The incidence of mechanical phlebitis during PICC insertion 7 days were observed according to tile criteria of American IV Nurse Association. Results The incidence of phlebitis of experimental and control groups were 10% （5/50） and 25% （12/48） respectively. There was siguitleant difference （Х^2 =3.843 1, P〈0.05） .Conclusions Early nursing intervention can decrease the incidence of post PICC insertion phlebitis and alleviate the patients＇ suffering and help them smoothly complete the chemotherapy course.