降低胃癌患者PICC脱管发生率的集束化护理

Cluster Nursing for Reducing the Incidence of PICC Tube Removal in Patients With Gastric Cancer

目的观察集束化护理在降低胃癌患者PICC脱管发生率的应用效果。方法对符合纳入标准的268例胃癌化疗的PICC置管患者,按照时间顺序分为两组。对照组112例给予常规PICC置管护理,干预组156例在常规PICC置管护理基础上采用预防PICC导管脱出的集束化护理措施。结果两组患者PICC导管脱出的发生率及留置时间调查结果显示,干预组优于对照组,比较差异具有统计学意义(P<0.05)。结论集束化护理在胃癌PICC带管患者维护中有优势,有效降低脱管发生率,延长留置时间,提高护理质量,降低医疗费用,提高护理满意度。

Objective To observe the effect of bundle nursing in reducing the incidence of PICC tube removal in patients with gastric cancer. Methods A total of 268 patients with gastric cancer undergoing chemotherapy with PICC catheterization, who were included in the inclusion criteria, were divided into two groups according to chronological order. The control group （112 cases） was given conventional PICC tube care, while the intervention group 156 cases were treated with conventional PICC catheter care, and the cluster nursing measures were adopted to prevent PICC catheter prolapse. Results The incidence of PICC catheter prolapse and indwelling time in the two groups showed that the intervention group was superior to the control group, and the difference was statistically signifcant （P 〈 0.05）. Conclusion Cluster nursing has significant advantages in the maintenance of PICC tube in patients with gastric cancer. It can effectively reduce the incidence of catheter removal, prolong the indwelling time, improve the quality of nursing, reduce medical expenses and improve the satisfaction degree of nursing.