论文部分内容阅读
目的研究肿瘤化疗患者经外周静脉置入中心静脉导管(PICC)导管维护中应用集束化护理的意义。方法 68例肿瘤化疗患者,随机分常规组和技集束组,每组34例。常规组采用常规护理方法进行PICC导管维护,集束组采用集束化护理方法进行PICC导管维护。比较两组患者导管维护满意度;观察局部皮肤炎性反应、血栓、全身不良反应的发生情况;维护前后生存质量的差异。结果集束组患者导管维护满意度为97.06%,高于常规组的73.53%,差异具有统计学意义(P<0.05);集束组不良反应发生率为5.88%,低于常规组的26.47%,差异具有统计学意义(P<0.05);维护前两组患者生存质量比较差异无统计学有意义(P>0.05);维护后集束组生存质量改善幅度明显优于常规组,差异具有统计学意义(P<0.05)。结论肿瘤化疗患者PICC导管维护中应用集束化护理的效果确切,可有效减少局部皮肤炎性反应、血栓、全身不良反应等PICC导管置管不良事件的发生,提高患者满意度和生存质量,值得推广应用。
Objective To study the significance of using cluster nursing in the maintenance of catheters for peripheral vein catheterization (PICC) in patients with tumor chemotherapy. Methods Sixty-eight patients with cancer and chemotherapy were randomly divided into routine group and skill-intensive group, 34 cases in each group. The conventional group received PICC catheter maintenance using routine care and the cluster group employed a bundled care approach for PICC catheter maintenance. The satisfaction degree of catheter maintenance was compared between the two groups. The local dermal inflammatory reaction, thrombus and systemic adverse reactions were observed. The difference of quality of life before and after maintenance was observed. Results The degree of satisfaction with catheter maintenance in the bundle group was 97.06%, higher than that in the conventional group (73.53%, P <0.05). The adverse reaction rate in the cluster group was 5.88%, which was lower than that in the conventional group (26.47%), (P <0.05). There was no significant difference in the quality of life between the two groups before maintenance (P> 0.05). The improvement of quality of life in cluster group after maintenance was better than that in routine group (P <0.05) P <0.05). Conclusion The application of intensive care in PICC catheter maintenance for patients with tumor chemotherapy is effective and can effectively reduce the occurrence of PICC catheterization adverse events such as local dermal inflammatory reaction, thrombosis and systemic adverse reactions, and improve patient satisfaction and quality of life. It is worth promoting application.