基于风险雷达图分析的风险管理在宫颈癌PICC置管患者中的应用

Application of Risk Management Based on Risk Radar Chart Analysis in Patients with Cervical Cancer Undergoing PICC Catheterization

目的:探讨基于风险雷达图分析的风险管理在宫颈癌经外周静脉置入中心静脉导管(PICC)患者中的应用效果。方法:将2019年11月1日~2022年10月31日收治的102例宫颈癌化疗患者按照随机数字表法分为对照组和观察组各51例,对照组采用常规护理措施,观察组在常规护理基础上实施基于风险雷达图分析的风险管理,两组均连续干预8周。比较两组导管相关性血流感染(CRBSI)发生率、导管意外拔除发生率、不良事件发生率,比较干预前后两组自护能力[采用肿瘤患者PICC自我管理能力量表(CPPSM)]、焦虑状态[采用状态-特质焦虑量表(STAI)]。结果:观察组CRBSI发生率低于对照组,但两组比较差异无统计学意义(P>0.05);观察组导管意外拔除发生率、不良事件总发生率均低于对照组(P<0.05);干预后,两组CPPSM评分均较干预前上升,且观察组高于对照组(P<0.05),两组STAI评分均较干预前降低,且观察组低于对照组(P<0.05)。结论:基于风险雷达图分析的风险管理应用于宫颈癌PICC患者,能有效降低CRBSI发生率及不良事件发生率,提高患者PICC导管自护能力,改善其焦虑状态。

Objective:To explore the application effect of risk management based on risk radar chart analysis in patients with cervical cancer undergoing peripherally inserted central catheter(PICC).Methods:A total of 102 patients with cervical cancer who underwent chemotherapy from November 1,2019 to October 31,2022 were divided into the control group and the observation group with 51 cases in each group according to the random number table method.The control group was given routine nursing management,and the observation group was given risk management based on risk radar chart analysis.Both groups were continuously intervened for 8 weeks.The incidence rate of CRBSI,accidental catheter removal rate and incidence rate of adverse events during intervention and self-care ability by cancer patients PICC self-management scale(CPPSM)and anxiety status by status-trait anxiety inventory(STAI)before and after intervention were compared between the two groups.Results:The incidence rate of CRBSI in the observation group was lower than that in the control group(P>0.05),and the accidental catheter removal rate and total incidence rate of adverse events were lower than those in the control group(P<0.05).After intervention,the CPPSM scores in both groups were higher than those before intervention(P<0.05),and the scores in observation group were higher than those in the control group(P<0.05),and the STAI scores in both groups were lower after intervention than those before intervention,and those in the observation group were lower than those in the control group(P<0.05).Conclusion:Application of risk management based on risk radar chart analysis is in patients with cervical cancer undergoing PICC catheterizationit can effectively reduce the incidence rates of CRBSI and adverse events,enhance the self-care ability of PICC and improve the anxiety status.