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PICC专科门诊在肿瘤患者中的应用效果
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  • 英文篇名:Application of PICC special outpatient service in patients with malignant tumors
  • 作者:王继华 ; 侯庆先
  • 英文作者:WANG Jihua;HOU Qingxian;Department of Oncology,The Fourth Hospital of Qinhuangdao City,Hebei;
  • 关键词:PICC专科门诊 ; 肿瘤 ; 应用 ; 效果分析
  • 英文关键词:PICC special outpatient clinic;;tumor;;application;;effect analysis
  • 中文刊名:HBYZ
  • 英文刊名:Hebei Medical Journal
  • 机构:河北省秦皇岛市第四医院肿瘤内科;
  • 出版日期:2019-04-10
  • 出版单位:河北医药
  • 年:2019
  • 期:v.41
  • 基金:秦皇岛市科技局计划项目(编号:201703A107)
  • 语种:中文;
  • 页:HBYZ201907036
  • 页数:4
  • CN:07
  • ISSN:13-1090/R
  • 分类号:141-143+147
摘要
目的观察PICC专科门诊在肿瘤患者中的应用效果。方法选取2017年6月至2018年6月接受PICC置管和维护的肿瘤患者90例为研究对象,按照入住科室随机分为对照组和观察组,每组45例。对照组在入住科室进行PICC置管和维护,观察组在PICC专科门诊进行PICC置管和维护,比较2组一针穿刺成功率、PICC期间并发症发生情况及护理满意度。结果观察组一针穿刺成功率、护理满意度显著高于对照组,并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。结论为肿瘤患者设立PICC专科门诊能够有效提高一针穿刺成功率及护理满意度,并降低PICC置管期间并发症发生率,值得临床推广。
        Objective To investigate the clinical effects of PICC special outpatient service in patients with malignant tumors.Methods A total of 90 patients with malignant tumors who received PICC in our hospital from June 2017 to June 2018 were enrolled in the study, who were divided into observation group(n=45) and control group(n=45).The patients in control group received PICC catheterization,however, the patients in observation group were treated by PICC catheterization in PICC special outpatient service.The success rate of catheterization,incidence rate of complications and nursing satisfaction degree were observed and compared between the two groups.Results The success rate of catheterization and nursing satisfaction degree in observation group were significantly higher than those in control group,moreover,the incidence rates of complications in observation group were significantly lower than those in control group(P<0.05).Conclusion The application of PICC special outpatient service in patients with malignant tumors can effectively improve the rate of PICC catheterization and nursing satisfaction degree,and can reduce the incidence rate of complications during catheterization,thus,it is worthy of clinical promotion.
引文
1 Lefebvre L,Noyon E,Georgescu D,et al.Port catheter versus peripherally inserted central catheter for postoperative chemotherapy in early breast cancer:a retrospective analysis of 448 patients.Supportive Care in Cancer:Official Journal of the Multinational Association of Supportive Care in Cancer,2016,24:1397-1403.
    2 赵爽爽,赵瑜,李莉,等.PICC对化疗患者血浆D-二聚体水平的影响.肿瘤防治研究,2017,44:124-128.
    3 程龙霞,马点玉.PICC专科护理门诊的优势及对导管维护的体会.当代护士(中旬刊),2015,10:131-132.
    4 束寒玲,戴文君,张小华,等.电话回访在肿瘤患者PICC置管延续护理中的应用效果.中国护理管理,2016,16:535-539.
    5 梁珏,李笑屏,童志文,等.全程护理干预在肿瘤患者PICC管道自我维护中的应用.中国临床护理,2016,8:160-162.
    6 黄玲.护理程序式健康教育对肿瘤化疗留置PICC患者自护能力及相关并发症的影响.当代护士,2017,7:156-158.
    7 Yi XL,Chen J,Li J,et al.Risk factors associated with PICC-related upper extremity venous thrombosis in cancer patients.Journal of Clinical Nursing,2014,23:837-843.
    8 Sharp R,Cummings M,Fielder A,et al.The catheter to vein ratio and rates of symptomatic venous thromboembolism in patients with aperipherally inserted central catheter(PICC):A prospective cohort study.International Journal of Nursing Studies,2015,52:677-685.
    9 谭冬梅.置管专项护理对肿瘤PICC置管患者静脉炎、血栓及微血栓形成的影响.血栓与止血学,2016,22:441-443.
    10 Marcy PY,Guiffant G,Flaud P.Catheter tip displacements at power PICC CT injection.Ajr Am J Roentgenol,2014,203:742-743.
    11 刘琳,刘敏,张云美.PICC延续护理手册在肿瘤化疗患者中的应用效果.护理研究,2017,31:3435-3438.
    12 朱秀英,石小毛,邓璀敏,等.恶性肿瘤化疗患者PICC带管期间非正常拔管的原因分析.中华现代护理杂志,2016,22:5276-5280,5281.
    13 Adams DZ,Little A,Vinsant C,et al.Themid-line catheter:a clinical review.J Emerg Med,2016,51:252-258.
    14 何斌,倪增良,徐增成,等.低分子肝素联合压力泵预防老年髋部骨折深静脉血栓的临床观察.中国医院药学杂志,2014,34:839-842.
    15 李蓉梅.国内经外周静脉置入中心静脉导管专科护理门诊的发展现状.中华现代护理杂志,2010,16:2844-2845.
    16 马燕,王宾艳.PDCA护理管理在老年恶性肿瘤患者PICC置管中的应用效果.中华现代护理杂志,2016,22:3961-3963,3964.
    17 郭晓笛.恶性肿瘤患者应用PICC的护理效果.实用临床护理学杂志,2018,3:150-151.
    18 董金莲.开设PICC护理专科门诊的实践及体会.当代护士(下旬刊),2013,9:133-134.

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