集束化护理在晚期肺癌患者PICC导管维护中的应用

Application of cluster nursing intervention on PICC maintenance in patients with advanced lung cancer

目的探讨集束化护理在晚期肺癌患者经外周置入的中心静脉导管(PICC)维护中的应用效果。方法晚期肺癌患者291例随机分为对照组和研究组。对照组142例患者给予常规PICC维护,研究组149例患者在对照组基础上采用集束化护理。观察2组PICC置管成功率、并发症发生率及护理满意度。结果研究组堵管、导管脱出发生率低于对照组,一次置管成功率高于对照组,差异均有统计学意义(P<0.05)。研究组护理总满意率为92.62%(138/149),高于对照组的73.24%(104/142),差异有统计学意义(P<0.05)。结论集束化护理应用于晚期肺癌患者的PICC带管维护,能明显减少并发症的发生,缓解护患关系。

Objective To investigate the cluster nursing intervention on peripherally inserted central catheter（ PICC） maintenance in patients with advanced lung cancer. Methods A total of 291 patients with advanced lung cancer receiving PICC treatment were randomly divided into the control group（ n = 142） and the study group（ n = 149）. Both two groups were given routing nursing care for PICC maintenance,and the study group was applied with cluster nursing interventions. The catheterized success rate,incidence of catheter-related complications and satisfaction to nursing service were compared between two groups. Results The study group had a lower incidence of catheter blockage and dislocation,a higher rate of one-time catheterized success rate compared with the control group（ P〈0.05）. The nursing satisfaction rate was 92. 62%（138 /149） in the study group and was 73. 24%（104 /142）in the control group,with a significant difference（P〈0.05）. Conclusion Cluster nursing intervention is potentially effective to reduce the risk of catheter-related complications and improve the nursing satisfaction of patients with advanced lung cancer.