护理干预对留置耐高压注射型PICC导管脱出的影响

Effect of nursing intervention on catheter prolapse of powerp PICC

目的探讨针对性护理干预对降低留置powerpPICC(耐高压注射型PICC导管)导管脱出发生率的效果。方法将2016年4月-2016年10月化疗的70例患者设为对照组,将2016年11月-2017年5月化疗的70例设为干预组。对照组患者采用常规护理,干预组患者除了常规护理外,根据对照组患者发生导管脱出原因分析,并查阅文献采取针对性护理措施。比较两组患者导管脱出发生率。结果干预组患者导管脱出率低于对照组,两组比较,差异具有统计学意义(P<0.05)。结论 powerpPICC脱出原因与导管材质、外露长度、固定方法、患者依从性、维护方法等因素有关,采取针对性的护理干预能有效预防导管脱出,能降低导管脱出,延长导管使用期。

Objective To study the effect of nursing intervention on the catheter prolapse of the powerpPICC（high pressure injection type PICC catheter）. Methods A total of 140 patients with powerpPICC were divided into observation group and control group by the catheter inserting time, with 70 cases in each group. The observation group received conventional nursing care, and the control group the targeted care measures based on analysis of catheter prolapse in the observation group. Result The rate of catheter prolapse in the observation group was significantly higher than that of the control group（ P〈0.05）. Conclusions The prolapse of powerpPICC is related to catheter material, exposed length, fixed method, patient＇s compliance, catheter caring method. The care measures based on the different causes can decrease the rate of catheter prolapse and extend its duration.