集束化护理措施预防肿瘤患者中心静脉通路装置相关皮肤损伤的效果分析

Effect of cluster nursing measures on preventing central venous access devices associated skin impairment in tumor patients

目的探讨集束化护理措施对预防肿瘤患者中心静脉通路装置相关皮肤损伤(CASI)发生的效果。方法采用便利抽样法,选择2018年9月—2019年12月北京市某三级甲等医院普通外科收治的306例留置PICC的肿瘤患者为试验组,实施集束化护理措施;选择同科室2017年3月—2018年6月收治的295例留置PICC的患者为对照组,使用PICC置管和维护流程进行操作。比较两组患者CASI的发生情况、发生CASI患者的疼痛及瘙痒程度。结果试验组患者CASI发生率为7.19%(22/306)低于对照组的20.34%(60/295),且试验组患者张力性水疱、接触性皮炎的发生例数少于对照组,差异均有统计学意义(P<0.01)。发生CASI的试验组患者的疼痛及瘙痒程度轻于对照组,差异有统计学意义(P<0.05)。结论集束化护理措施可有效降低留置PICC肿瘤患者的CASI发生率,提高患者的舒适度。

Objective To explore the effect of cluster nursing measures on preventing the occurrence of central venous access devices associated skin impairment(CASI)of tumor patients.Methods A total of 306 tumor patients with indwelling PICC who were admitted to the Department of General Surgery in a ClassⅢGrade A hospital in Beijing from September 2018 to December 2019 were selected as the experimental group by the convenient sampling method,and they were given cluster nursing measures.A total of 295 patients with indwelling PICC from March 2017 to June 2018 in the same department were selected in the control group,and the PICC catheterization and maintenance procedures were used for operation.The occurrence of CASI and the degree of pain and itching of CASI patients were compared between the two groups.Results The incidence of CASI in the experimental group was 7.19%(22/306),lower than 20.34%(60/295)in the control group,and the number of cases of tension blisters and contact dermatitis in the experimental group was less than that in the control group,and the differences were statistically significant(P<0.01).The degree of pain and itching of patients with CASI in the experimental group were lighter than that in the control group,and the differences were statistically significant(P<0.05).Conclusions Cluster nursing measures can effectively reduce the incidence of CASI in tumor patients with indwelling PICC and improve their comfort degree.