白血病化疗患者PICC置管风险因素及健康干预应用分析

Risk factors and quality nursing of PICC catheterization in patients with leukemia chemotherapy

目的:研究分析对白血病化疗患者PICC置管的护理风险以及采用优质护理的应用效果。方法:随机选取我院2017年3月至2018年3月内收治的80例白血病患者,所有患者以护理模式差异分为参照组(40例,常规护理)和研究组(40例,常规护理+优质护理),对比分析两组患者的PICC置管护理风险因素发生几率(静脉炎、导管相关感染、导管移位、导管堵塞)、护理质量(特殊护理适宜性、基本护理措施、心理支持、健康教育科普、护理评估准确)评分和护理满意度。结果:研究结果显示,研究组患者的PICC导管风险总发生率为15%明显低于参照组37.5%,研究组患者长护理质量评分均明显高于参照组,且研究组患者护理满意度为95%,明显高于参照组85%,所有对比均差异明显(P<0.05)。结论:对白血病化疗患者采用优质护理能有效降低PICC置管风险的发生几率,提高护理满意度,值得临床应用。

Objective:to study and analyze the nursing risk of PICC catheterization in patients with leukemia chemotherapy and the application effect of quality nursing.Methods:randomly selected from our hospital in March 2017 to 2018 of 80 cases of leukemia patients over a period of 3 months,all patients to nursing mode differences were divided into control group(40 cases,the conventional nursing)and group(40 cases,conventional nursing+quality),the comparative analysis of two groups of patients with PICC catheter nursing risk factors,the risk(phlebitis,catheter related infections,catheters displacement,catheter jam),nursing quality,suitability,basic nursing,special nursing psychological support,health education,popular science,nursing assessment accurate)score and nursing satisfaction.Results:the study results showed that the overall incidence of PICC catheter risk in patients in the study group was 15%,significantly lower than that in the reference group(37.5%),the long-term care quality score of patients in the study group was significantly higher than that in the reference group,and the nursing satisfaction of patients in the study group was 95%,significantly higher than that in the reference group(85%),with significant differences in all comparisons(P<0.05).Conclusion:the use of quality care for patients with leukemia chemotherapy can effectively reduce the incidence of PICC catheterization risk and improve nursing satisfaction,which is worthy of clinical application.