加强护理对PICC置管患者血栓发生的影响

Effect of intensive nursing on thrombosis of patients with PICC catheterization

目的分析肿瘤患者经外周静脉置入中心静脉导管(PICC)相关性血栓发生因素及护理对策。方法 78例肿瘤患者,采用奇偶法分为对照组和观察组,每组39例。对照组给予一般护理,观察组在对照组的基础上给予加强护理。比较两组患者的护理满意度和血栓发生情况。结果观察组患者的血栓发生率为15.38%,对照组患者的血栓发生率为38.46%,观察组血栓发生率低于对照组,差异有统计学意义(P<0.05)。观察组患者的护理满意度为97.44%,对照组患者的护理满意度为71.79%,观察组护理满意度优于对照组,差异有统计学意义(P<0.05)。结论肿瘤患者PICC导管发生的血栓相关性因素很多,只有在临床上加强护理,避免因素的影响,才能降低不良反应,促使护理满意度的提升。

Objective To analyze the risk factors of peripherally inserted central catheters(PICC)related thrombosis in tumor patients and nursing strategies.Methods A total of 78 tumor patients were divided by parity method into control group and observation group,with 39 cases in each group.The control group received general nursing,and the observation group received intensive nursing on the basis of the control group.The nursing satisfaction and occurrence of thrombosis in two groups was compared.Results The observation group had incidence of thrombosis as 15.38%,while the control group had incidence of thrombosis as 38.46%.The observation group had lower incidence of thrombosis than the control group,and the difference was statistically significant(P<0.05).The observation group had nursing satisfaction degree as 97.43%,while the control group had nursing satisfaction degree as 71.79%.The observation group had better nursing satisfaction degree than the control group,and the difference was statistically significant(P<0.05).Conclusion There are many factors related to thrombosis in tumor patients with PICC.Only by strengthening the nursing and avoiding the influence of factors can reduce the adverse reactions and improve nursing satisfaction.