薄型泡沫敷料联合藻酸钙敷料预防老年肿瘤患者PICC置管早期并发症的临床效果
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摘要
目的探讨薄型泡沫敷料联合藻酸钙敷料在预防老年患者PICC置管早期并发症的效果。方法选取2016年5月～2017年12月我院收治的306例PICC门诊置管的肿瘤老年患者作为研究对象,按照置管顺序随机分为对照组(n=150)和观察组(n=156)。置管后,对照组采用湿热敷预防早期并发症,观察组采用薄型泡沫敷料联合藻酸钙敷料预防早期并发症。两组连续观察7 d。比较两组置管后早期相关并发症的发生率。结果观察组置管后机械性静脉炎、穿刺点红肿感染、穿刺点渗血、静脉血栓的发生率低于对照组,差异有统计学意义(P<0.05)。结论PICC置管后采用薄型泡沫敷料联合藻酸钙敷料能有效降低老年患者早期并发症的发生率,减少患者痛苦,减轻护士工作量,值得临床推广运用。
Objective To evaluate the effect of thin combined with calcium alginate dressing in preventing the early complications related to PICC tube insertion in elderly tumor patients. Methods During the period between May 2016 and December 2017, three hundred and six elderly tumor patients were enrolled in the study. Patients were randomly divided into control group(n=150) and observation group(n=156) by the order of catheterization. Patients in the control group were treated with wet hot compress to prevent early complications after catheterization, while the patients in the observation group were treated with thin combined with calcium alginate dressing after catheterization. The incidence of the PICC catheter related complications were evaluated for asubsequent week. Results Dressing ooze blood soaked states on the puncture points, PICC catheter-induced phlebitis and venous thrombosis rate in the observation group were significantly lower than those in the control group, and the differences were statistically significant(P<0.05). Conclusion The adoption of thin combined with calcium alginate dressing after PICC catheterization can effectively reduce the incidence of early complications related to PICC catheterization in elderly tumor patients, and relieve patients′ suffering as well as nurses′ workload. It′s worthy of clinical promotion.
Objective To evaluate the effect of thin combined with calcium alginate dressing in preventing the early complications related to PICC tube insertion in elderly tumor patients. Methods During the period between May 2016 and December 2017, three hundred and six elderly tumor patients were enrolled in the study. Patients were randomly divided into control group(n=150) and observation group(n=156) by the order of catheterization. Patients in the control group were treated with wet hot compress to prevent early complications after catheterization, while the patients in the observation group were treated with thin combined with calcium alginate dressing after catheterization. The incidence of the PICC catheter related complications were evaluated for asubsequent week. Results Dressing ooze blood soaked states on the puncture points, PICC catheter-induced phlebitis and venous thrombosis rate in the observation group were significantly lower than those in the control group, and the differences were statistically significant(P<0.05). Conclusion The adoption of thin combined with calcium alginate dressing after PICC catheterization can effectively reduce the incidence of early complications related to PICC catheterization in elderly tumor patients, and relieve patients′ suffering as well as nurses′ workload. It′s worthy of clinical promotion.
引文
[1]曹美华,顾晓菊,徐艳霞,等.联合干预预防PICC置管后机械性静脉炎疗效观察[J].当代护士(下旬刊),2018,25(1):152-154.
[2]张小满,宋洁,王艳艳,等.老年肿瘤化疗患者PICC置管后静脉血栓形成的危险因素及防护措施的研究进展[J].中国当代医药,2018,25(24):37-39.
[3]吴慧群,黄静玉,李可.爱立敷粘性敷料在PICC导管相关性皮肤过敏中的临床应用[J].全科护理,2017,15(36):4521-4522.
[4]范彬,梅赣红,张玉红,等.湿热敷预防PICC置管患者静脉炎的效果[J].实用临床医学,2014,15(10):121-123.
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[8]吴碧钦,黄朝青.新型敷料预防PICC置管术后静脉炎的疗效观察[J].护理研究,2014,28(22):2753-2754.
[9]麻杰.爱立敷对预防患者PICC置管后机械性静脉炎的效果[J].医疗装备,2017,30(6):186.
[10]吴慧群,黄静玉,李可.爱立敷粘性敷料在PICC导管相关性皮肤过敏中的临床应用[J].全科护理,2017,15(36):4521-4522.
[11]章洁苓,黄芬.早期应用爱立敷薄型泡沫敷料治疗药物外渗的效果观察[J].全科护理,2017,15(22):2767-2768.
[12]宋葵,王培,吕微.藻酸钙敷料应用于肿瘤患者PICC穿刺点止血的效果观察[J].护理学报,2015,22(14):57-59.
[13]黄丽菊,吕玉芳,王晓珍,等.藻酸钙伤口敷料预防PICC术后穿刺处红肿渗血的疗效观察[J].全科护理,2012,10(18):1647.
[14]王娴,张洁.茶黄膏外敷预防PICC置管后机械性静脉炎的效果[J].中华护理杂志,2014,49(10):1260-1263.
[15]Shi Y,Wen L,Zhou Y.Thrombotic risk factors in patients undergoing chemotherapy via peripherally inserted central catheter[J].J Int Med Res,2014,42(3):863-869.
[16]刘芬,郭豫涛,徐月,等.老年住院患者PICC相关深静脉血栓风险评估模型研究[J].中国护理管理,2017,17(4):462-466.
[2]张小满,宋洁,王艳艳,等.老年肿瘤化疗患者PICC置管后静脉血栓形成的危险因素及防护措施的研究进展[J].中国当代医药,2018,25(24):37-39.
[3]吴慧群,黄静玉,李可.爱立敷粘性敷料在PICC导管相关性皮肤过敏中的临床应用[J].全科护理,2017,15(36):4521-4522.
[4]范彬,梅赣红,张玉红,等.湿热敷预防PICC置管患者静脉炎的效果[J].实用临床医学,2014,15(10):121-123.
[5]王建荣.输液治疗护理实践指南与实施细则[M].北京:人民军医出版社,2009:99-103.
[6]Thayer D.Skin damage associated with intravenous therapy:common problems and strategies for prevention[J].J Infus Nurs,2012,35(6):390-401.
[7]丹海永,田金满,胡英芳,等.康惠尔透明贴联合湿热敷在PICC置管患者中的应用[J].中华医院感染学杂志,2018,28(3):463-465.
[8]吴碧钦,黄朝青.新型敷料预防PICC置管术后静脉炎的疗效观察[J].护理研究,2014,28(22):2753-2754.
[9]麻杰.爱立敷对预防患者PICC置管后机械性静脉炎的效果[J].医疗装备,2017,30(6):186.
[10]吴慧群,黄静玉,李可.爱立敷粘性敷料在PICC导管相关性皮肤过敏中的临床应用[J].全科护理,2017,15(36):4521-4522.
[11]章洁苓,黄芬.早期应用爱立敷薄型泡沫敷料治疗药物外渗的效果观察[J].全科护理,2017,15(22):2767-2768.
[12]宋葵,王培,吕微.藻酸钙敷料应用于肿瘤患者PICC穿刺点止血的效果观察[J].护理学报,2015,22(14):57-59.
[13]黄丽菊,吕玉芳,王晓珍,等.藻酸钙伤口敷料预防PICC术后穿刺处红肿渗血的疗效观察[J].全科护理,2012,10(18):1647.
[14]王娴,张洁.茶黄膏外敷预防PICC置管后机械性静脉炎的效果[J].中华护理杂志,2014,49(10):1260-1263.
[15]Shi Y,Wen L,Zhou Y.Thrombotic risk factors in patients undergoing chemotherapy via peripherally inserted central catheter[J].J Int Med Res,2014,42(3):863-869.
[16]刘芬,郭豫涛,徐月,等.老年住院患者PICC相关深静脉血栓风险评估模型研究[J].中国护理管理,2017,17(4):462-466.