肿瘤化疗患者PICC置管期间的综合护理

Comprehensive nursing measures for patients undergoing chemotherapy via peripherally inserted central catheter

目的观察肿瘤化疗患者经外周静脉穿刺中心静脉置管(PICC)期间实施综合护理干预的效果。方法64例肿瘤化疗患者分为观察组和对照组。PICC置管期间,对照组32例患者给予常规护理,观察组32例患者给予综合护理干预。对比2组PICC置管情况及护理满意度。结果 2组PICC置管一次穿刺成功率差异无统计学意义(P>0.05);PICC置管期间,观察组患者非计划拔管率、血栓形成、机械性静脉炎和穿刺点出发生率低于对照组(P<0.05);观察组患者对护理服务满意度高于对照组(P<0.05)。结论肿瘤化疗患者PICC置管期间实施综合护理模式,能有效降低置管并发症发生风险,值得借鉴。

Objective To observe the effect of Comprehensive nursing intervention for cancer patients undergoing chemotherapy via peripherally inserted central catheter（PICC）. Methods A total of 64 cancer patients undergoing chemotherapy were assigned to the observation group and the control group,with 32 cases in each group. Patients in the control group received routine care during chemotherapy via PICC,and those in the observation group were given comprehensive nursing measures. The indwelling catheter condition and satisfaction degree to nursing service were observed and compared between two groups. Results There was no significant difference in one-time success rate of puncture between two groups（P〈0.05）. The occurrence rate of unplanned removal of PICC,thrombosis,mechanical phlebitis and puncture site bleeding was lower in the observation group than that of controls（P〈0.05）. Patients in the observation group were more satisfied with nursing service compared with those in the control group（P〈0.05）.Conclusion Comprehensive nursing measures can reduce the risk of PICC-related complications in patients undergoing chemotherapy via PICC.