肿瘤患者PICC相关性血栓形成的因素及护理策略

目的:分析肿瘤患者PICC相关性血栓形成的因素,同时对其护理措施进行探究。方法:从2020年9月至2021年9月抽取本院收治的200例开展留置PICC的肿瘤患者开展本次研究,对其临床资料施以分析,将患者按是否出现PICC相关性血栓进行分组,即分为血栓组(实验组15例)、非血栓组(对照组185例)。对两组患者的相关资料进行分析,并用Logistic回归分析法,分析引发静脉导管相关性血栓的因素。结果:分析相关资料,性别、置入导管顺利程度,对照组、实验组相比无差异,P>0.05;肿瘤出现部位、导管外径、穿刺部位、导管材质、导管留置时间两组相比,对照组与实验组有明显的差异,P<0.05。经Logistic回归多因素分析,发现肿瘤出现部位、导管外径、穿刺部位、导管材质、导管留置时间、医务人员操作熟练度等属于引发PICC相关性血栓的主要危险因素,P<0.05。结论:对于肿瘤患者PICC相关性血栓形成的因素进行分析,发现肿瘤出现部位、导管外径、穿刺部位、导管材质、导管留置时间、医务人员操作熟练度等是独立危险因素,故临床需要加强预防性护理干预,以此来减少或是预防相关性血栓的出现,为提高预后与减轻患者应激反应具有积极作用。

Objective:To analyze the factors of PICC-relatcd thrombosis in tumor patients and to explore their nursing measures.Methods:From September 2020 to September 2021,200 tumor patients with indwelling PICC were selected from this hospital to carry out this study,and their clinical data were analyzed,and the patients were divided into groups according to whether they had PICC-related thrombosis.It is divided into thrombus group(15 cases in the experimental group)and non-thrombus group(185 cases in the control group).The relevant data of the two groups of patients were analyzed,and the logistic regression analysis method was used to analyze the factors that cause venous catheter-related thrombosis.Results:Analysis of relevant data,gender,smoothness of catheter insertion,there was no difference between the control group and the experimental group,P>0.05;the tumor site,catheter outer diameter,puncture site,catheter material,catheter indwelling time were compared between the two groups.There is a significant difference between the control group and the experimental group,P<0.05.After logistic regression multi-factor analysis,it was found that tumor site,catheter outer diameter,puncture site,catheter material,catheter indwelling time,and medical staffs operational proficiency were the main risk factors for PICC-related thrombosis,P<0.05.Conclusion:Analysis of the factors of PICC-relatcd thrombosis in tumor patients found that the tumor site,catheter outer diameter,puncture site,catheter material,catheter indwelling time,and medical staffs operational proficiency are independent risk factors,so clinical prevention needs to be strengthened Sexual nursing intervention to reduce or prevent the occurrence of related thrombosis has a positive effect on improving the prognosis and reducing the stress response of patients.