静疗小组护理模式对血液肿瘤化疗患儿PICC置管成功率及满意度的影响

Effect of Intravenous Therapy Group Nursing Mode on Success Rate and Satisfaction of PICC Catheterization in Patients with Hematologic Tumor Chemotherapy

目的探讨静疗小组护理模式对血液肿瘤化疗患儿PICC置管成功率及家长满意度的影响。方法选取2019年10月至2023年2月在本院就诊符合PICC置管条件的血液肿瘤化疗患儿72例,随机单盲法分为对照组和观察者;对照组常规护理,观察组在对照组的基础上增加静疗小组护理模式;对照组和观察组穿刺方式统一为改良后塞丁格或超声导入下PICC穿刺技术,统计两组患儿PICC置管情况(1次穿刺成功率、1次置管成功率、上腔静脉到位率、平均置管时间)、导管留置期间相关并发症发生率、护理质量评分(健康教育、护理管理、护理技巧、护理态度)、家长满意度。结果观察组患儿1次置管成功率、1次穿刺成功率、上腔静脉到位率均高于对照组(P<0.05),观察组患儿平均置管时间短于对照组(P<0.05);观察组导管留置期间相关并发症发生率2.78%低于对照组(P<0.05);观察组护理质量评分均高于对照组(P<0.05);观察组护理满意度97.22%高于对照组(P<0.05)。结论静疗小组护理模式可有效提高血液肿瘤化疗患儿PICC置管成功率、提高家长满意度,预防和减少导管留置期间相关并发症发生率,减少医患矛盾,值得推广。

Objective To investigate the effect of the nursing mode of intravenous therapy group on the success rate of PICC catheterization and parents'satisfaction in children with hematologic tumor chemotherapy.Methods 72 children treated in our hospital with hematologic tumor chemotherapy from October 2019 to February 2023 were selected.The control group received routine nursing care,and the observation group was added the intravenous therapy group nursing mode on the basis of the control group.The PICC catheterization(success rate of one puncture,success rate of one catheterization,arrival rate of superior vena cava,average catheterization time)incidence of related complications during catheter indentation,nursing quality score(health education,nursing management,nursing skills,nursing attitude)and parents'satisfaction were analyzed in the two groups.Results The success rate of one catheterization,the success rate of one puncture and the location rate of superior vena cava in observation group were higher than those in control group(P<0.05),and the average catheterization time in observation group was shorter than that in control group(P<0.05).The incidence of related complications during catheterization in observation group was 2.78%lower than that in control group(P<0.05).The nursing quality score of observation group was higher than that of control group(P<0.05).The nursing satisfaction of observation group was 97.22%higher than that of control group(P<0.05).Conclusion Intravenous therapy group nursing mode can effectively improve the success rate of PICC catheterization in children with hematologic tumor chemotherapy,parents'satisfaction,prevent and reduce the incidence of complications during catheter indinduration,and avoid doctor-patient conflicts,which is worth promoting.