静脉化疗患者应用静脉治疗护理小组的价值探析

目的探究将静脉治疗护理小组应用于静脉化疗患者中的效果和价值。方法选取我院内分泌肿瘤科2014年3月-2015月3月收治的静脉化疗患者58例,采用抽签法将其分为研究组和参照组,参照组实行常规静脉注射护理,研究组实行静脉治疗护理小组,对比分析两组患者治疗后并发症情况。结果研究组并发症发生率为10.34%,低于参照组并发症发生率34.48%,P〈0.05,差异有统计学意义。结论在静脉化疗患者中实行静脉治疗护理小组的效果显著,可以降低发生症并发率。

4R危机管理理论在肿瘤静脉化疗患者中的应用

目的探讨4R危机管理理论在肿瘤静脉化疗患者中的应用效果。方法将2020年5月—2021年6月128例肿瘤化疗患者按照组间基本特征具有可比性的原则分成对照组和观察组,对照组实施常规静脉化疗管理,观察组采用基于4R危机管理理论的静脉化疗管理,比较两组静脉化疗并发症发生率、非计划拔管率和患者满意程度。结果观察组静脉化疗并发症发生率低于对照组,组间比较差异有统计学意义(P<0.05)。观察组因为导管脱出和导管堵塞引起的非计划拔管率低于对照组,组间比较差异有统计学意义(P<0.05)。观察组患者满意程度高于对照组,组间比较差异有统计学意义(P<0.05)。结论4R危机管理理论运用于肿瘤静脉化疗患者中,能降低并发症发生率和非计划拔管率,提高患者满意程度。

肿瘤患者静脉化疗安全用药的护理管理

目的:了解肿瘤患者静脉化疗用药的常见并发症,预防减少化疗引起的静脉炎及渗漏性损伤的出现。进一步了解中心静脉置管在肿瘤患者静脉化疗中的重要性及安全性。方法:对20例肿瘤患者进行中心静脉置管,加强护理及安全用药进行分析。结果:我院20例静脉化疗的肿瘤患者中,出现并发症8例,占40%,其中静脉炎2例,占10%。结论:肿瘤患者化疗选择穿刺部位,严格无菌操作是预防导管感染和堵管的关键。中心静脉置管化疗可以保证患者按疗程化疗,同时可以减少化疗致静脉炎及渗漏性损伤的出现,既可以减轻患者的痛苦,又提高了护理质量。

妇科化疗患者静脉穿刺困难的原因及对策

妇科化疗患者最主要的化疗途径为静脉给药,妇科患者中进行化疗的患者多为中老年妇女,因此患者体型大部分较肥胖且患者身体内部血管条件较差,患者进行静脉穿刺时不易一针见血,且对患者进行输液时,在输液过程中药物易发生外渗、不滴等现象,因此需要反复进行穿刺措施。本文将分析妇科化疗患者进行静脉穿刺困难的原因,并采取相应的解决办法,并取得了较为满意的效果。

Diagnosis and treatment of peripherally inserted central catheters(PICC)-related sepsis in breast cancer patients carrying PICC catheter for chemotherapy

Objective:The aim of our research was to study the incidence,clinical diagnosis and treatment of peripherally inserted central catheters(PICC)-related sepsis in breast cancer patients carrying PICC catheter for chemotherapy.Methods:The data of the incidence,diagnosis and treatment of PICC-related sepsis in 215 cases of breast cancer patients carrying PICC catheter for chemotherapy in our hospital from August,2009 to September,2011 were analyzed retrospectively.Results:216 PICCs had been successfully applied in 215 cases of breast cancer patients and followed for a total of 19,109 catheter days,(median catheterization duration,88.9 days,range 1-212 days).Among those,3(1.39%) PICCs were removed respectively as a result of PICC-related sepsis in 29,73 and 108 catheter-days(median 70 d),with a rate of 0.16 per 1000 catheter-days.Conclusion:Chemotherapeutic treatment via PICC for breast cancer patients is one of the most secure and effective measures but there exists small number of cases in which PICC catheter related sepsis is possible.Careful observation of relevant symptoms and signs,early diagnosis and treatment,not relying completely on blood culture tests and timely removal of PICC catheter can be very effective in treating PICC-related sepsis in these patients.