PICC置管24h后患肢疼痛的相关因素Logistic回归分析及护理对策

Related factors leading to limb pain after PICC for24 h by Logistic regression analysis and its nursing countermeasures

目的 经Logistic回归分析探讨PICC置管24 h后患肢疼痛相关因素及护理对策。方法 选取PICC置管患者120例,统计置管侧肢体VAS评分〉5分的患者,应用Logistic回归方程分析独立危险因素,并制定相应护理对策。结果 对危险因素采用条件Logistic回归方程进一步分析显示,制动时间〉1~4 h、焦虑抑郁情绪为独立危险因素,与疼痛的发生呈正相关。相较护理前,护理后患者疼痛程度显著降低,心理状况显著改善,差异均有统计学意义（P〈0.05）。结论 制动时间长、焦虑抑郁情绪为引发患者PICC置管后24 h患肢疼痛的主要原因,针对性加强功能训练和心理护理,可降低患者疼痛程度,保障其身心舒适。

Objective To investigate related factors leading to limb pain after PICC for 24 h by Logistic regression analysis and its nursing countermeasures. Methods A total of 120 patients with PICC were selected as research objects, patients over 5 points of VAS score of sick catheterized limb was statistically recorded and logistic regression analysis was used to analyze independent risk factors, and the corresponding countermeasures were formulated. Results Logistic regression analy- sis revealed that breaking time over 1 -4 h, anxiety and depression were independent risk factors, and they were positively correlated with the occurrence of pain. After nursing, the degree of pain was significantly lower and the psychological status of the patients was significantly improved, and the differences were statistically significant （P 〈 0.05 ）. Conclusion The main causes of limb pain of patients with PICC after 24 h were braking time, anxiety and depression. Psychological nursing can reduce the pain degree of patients, and ensure the physical and mental comfort.