肿瘤化疗患者中心静脉导管置入术并发症的预防及护理

Prevention and Nursing of Complications of Central Venous Catheter Implantation in Patients with Tumor Chemotherapy

目的研究肿瘤化疗患者中心静脉导管置入术(PICC)相关并发症的预防与护理。方法抽取本院于2019年12月至2020年12月收治的肿瘤化疗患者共110例,均行PICC置管术,将其依照随机抽样法分为对照组(55例,实施一般化护理方式)与观察组(55例,额外实施针对性护理干预),研究比对患者的并发症、满意度和SF-36评分等。结果 (1) 110例肿瘤化疗患者的并发症发生情况对比:与对照组相比,观察组肿瘤化疗患者的皮疹、皮屑、水泡、堵管等并发症发生率更低,两组对比有统计学差异(P<0.05)。(2) 110例肿瘤化疗患者的满意度对比:与对照组相比,观察组肿瘤化疗患者的护理满意度更高,两组对比有统计学差异(P<0.05)。(3) 110例肿瘤化疗患者的生存质量对比:与对照组相比,观察组肿瘤化疗患者的SF-36评分更高,两组对比有统计学差异(P<0.05)。结论针对性护理干预对于预防并发症发生,提高其护理满意度等有重要的意义。

Objective To study the prevention and nursing of complications related to central venous catheter(PICC) implantation in cancer patients undergoing chemotherapy. Methods From December 2019 to December 2020, a total of 110 patients with tumor chemotherapy in our hospital were randomly divided into control group(55 cases, the implementation of general nursing) and observation group(55 cases, the implementation of additional targeted nursing intervention). Results(1) The incidence of complications in 110 patients with tumor chemotherapy: Compared with the control group, the incidence of complications such as rash, dandruff, blister and tube blockage in the observation group was lower, with statistical difference between the two groups(P<0.05).(2) Comparison of satisfaction of 110 patients with tumor chemotherapy: Compared with the control group, the nursing satisfaction of patients with tumor chemotherapy in the observation group was higher, with statistical difference between the two groups(P<0.05).(3) Comparison of quality of life of 110 patients with tumor chemotherapy: Compared with the control group, the SF-36 score of patients with tumor chemotherapy in the observation group was higher, with statistical difference between the two groups(P<0.05). Conclusion Targeted nursing intervention is of great significance in preventing complications and improving nursing satisfaction.