延续性护理对乳腺癌术后化疗患者PICC导管相关并发症的影响

Effect of Continuity of Care on PICC Catheter-Related Complications in Postoperative Chemotherapy Patients with Breast Cancer

目的探讨延续性护理对乳腺癌术后化疗患者经外周静脉穿刺中心静脉导管(PICC)相关并发症的影响。方法选取2022年5月至2023年11月在我院进行术后化疗的乳腺癌患者166例,以随机数字表法分为观察组和对照组,每组83例。对照组采用常规护理,观察组采用延续性护理。对两组患者PICC导管相关并发症发生率、PICC导管自我管理能力以及生活质量进行评价。结果观察组PICC导管相关并发症发生率较对照组低(P<0.05),PICC导管自我管理能力总分较对照组高(P<0.05),癌症治疗功能评价-共性模块量表(FACT-G)各个维度评分及总分高于对照组(P<0.05)。结论对乳腺癌术后化疗PICC置管患者采取延续性护理方案可有效降低PICC导管相关并发症的发生率,提高患者PICC导管自我管理能力,是一种有效的护理方案。

Objective To explore the effect of continuity of care on peripherally inserted central venous catheter(PICC)catheter-related complications in postoperative chemotherapy patients with breast cancer.Methods A total of 166 breast cancer patients who underwent postoperative chemotherapy in our hospital from May 2022 to November 2023 were selected and divided into observation group and control group by random number table method,with 83 cases in each group.The control group used conventional nursing,and the observation group used continuity nursing.The incidence of PICC catheter-related complications,PICC catheter self-management ability and quality of life were evaluated in the two groups.Results The incidence of PICC catheter-related complications in the observation group was lower than that in the control group(P<0.05),the total score of PICC catheter self-management ability was higher than that in the control group(P<0.05),and the scores of various dimensions and total score of functional assessment of cancer therapy-General(FACT-G)were higher than that in the control group(P<0.05).Conclusions Adopting continuity of care programme for patients with PICC catheter placement for postoperative chemotherapy for breast cancer can effectively reduce the incidence of PICC catheter-related complications and improve the patients'ability of self-management of PICC catheter,which is an effective nursing programme.