恶性肿瘤患者PICC导管相关性感染因素及护理对策分析

Analysis of PICC Catheter-related Infection Factors and Nursing Countermeasures in Patients with Malignant Tumor

目的探究恶性肿瘤患者经外周置入中心静脉置管(PICC)的导管相关性感染因素,并提出护理对策。方法以2019年1月-2022年1月佳木斯市中心医院行PICC置管的60例恶性肿瘤患者为研究对象,依据导管相关性感染的发生情况分为感染组(24例)与非感染组(36例),比较两组年龄、性别、单次置管穿刺次数、PICC留置时间、导管移动情况、导管置入部位及化疗次数,分析PICC导管相关性感染的危险因素。结果感染组与非感染组单次置管穿刺次数、PICC留置时间、导管移动、导管置入部位、化疗次数比较,差异有统计学意义(P<0.05);多因素Logistic线性回归分析显示,单次置管穿刺次数、PICC留置时间、化疗次数是引起PICC导管相关性感染的独立危险因素(P<0.05)。结论恶性肿瘤患者PICC导管相关性感染的危险因素包括单次置管穿刺次数、PICC留置时间、化疗次数,临床需针对以上因素实施相应护理干预,以降低导管相关性感染的发生风险。

Objective To explore the catheter-related infection factors of peripherally inserted central catheter(PICC)in patients with malignant tumors,and to put forward nursing countermeasures.Methods From January 2019 to January 2022,60 patients with malignant tumors who underwent PICC catheterization in Jiamusi Central Hospital were selected as the research objects.According to the occurrence of catheter-related infection,they were divided into infection group(24 patients)and non-infection group(36 patients).The age,gender,number of single catheterization punctures,PICC indwelling time,catheter movement,catheter insertion site and number of chemotherapy were compared between the two groups,and the risk factors of PICC catheter-related infection were analyzed.Results There were statistically significant differences in the number of single catheterization punctures,PICC indwelling time,catheter movement,catheter insertion site,and number of chemotherapy between the infection group and the non-infection group(P<0.05).Multivariate Logistic linear regression analysis showed that the number of single catheterization puncture,PICC indwelling time and the number of chemotherapy were independent risk factors for PICC catheter-related infection(P<0.05).Conclusion The risk factors of PICC catheter-related infection in patients with malignant tumors include the number of single catheter punctures,PICC indwelling time,and number of chemotherapy.Clinically,corresponding nursing interventions should be implemented for the above factors to reduce the risk of catheter-related infection.