预见性护理干预在肿瘤化疗中预防深静脉导管堵塞的效果分析

The effect of predictive nursing intervention in the prevention of deep venous catheter obstruction of patients with chemotherapy

目的探讨预见性护理干预在肿瘤化疗中预防深静脉导管堵塞的效果。方法选择因化疗需深静脉置管的住院患者210例,实验组105例,对照组105例,对实验组患者护士应用预见性护理干预,对照组患者采用传统护理。比较2组患者置管后30天内的机械性静脉炎、导管相关性血栓、管道阻塞的发生率。结果 2组患置管后30天内的机械性静脉炎、导管相关性血栓、管道阻塞的发生率的比较具有统计学意义(P<0.05)。结论将预见性护理干预应用深静脉置管的肿瘤患者化疗,可有效降低置管后30天内导管相关性血栓、机械性静脉炎、导管阻塞的发生率。

Objective To explore the effect of predictive nursing intervention in the pre- vention of deep venous catheter obstruction of patients with chemotherapy. Methods A total of 210 cancer patients with chemotherapy were divided into experimental group（ 105 cases） and control group （105 cases）, the experimental group applied predictive nursing intervention while the control group was given routine nursing. The incidence of mechanical phlebitis, catheter related thrombosis and catheter obstruction within 30 d were compared in two groups. ResuLts Significant differences were found in mechanical phlebitis, catheter related thrombosis and obstruction within 30 d in two groups（P 〈 0.05）. Conclusion Application of predictive nursing intervention in the prevention of deep venous catheter obstruction of patients with chemotherapy can lower the incidence of mechanical phlebitis, catheter related thrombosis and obstruction.