摘要
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.
出处
《中西医结合护理(中英文)》
2016年第10期108-110,共3页
Journal of Clinical Nursing in Practice
关键词
肺癌
经外周置入的中心静脉导管
集束化护理
并发症
lung cancer
peripherally inserted central catheter
cluster nursing
complications