161例门诊儿童PICC维护并发症及护理
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摘要
目的了解儿童PICC维护门诊在导管维护过程中常见并发症,以提出针对性的护理措施。方法本研究为观察性研究,采用自行设计的PICC维护记录单详细记录患儿进行PICC维护时的情况以及处理措施和效果。结果研究期间共有998例患儿进行PICC导管维护,161例患儿发生并发症,发生率为16.1%,经过对症处理155例患儿PICC继续使用,6例患儿PICC被迫拔除。结论儿童PICC维护门诊常见并发症较多,但经过专业护理可以预防和处理各种并发症,保持导管处于良好的功能状态。
Objective To understand the complications in the catheter maintenance of children's PICC clinic, and to propose targeted nursing measures. Methods We conducted an observational study, and a self-designed PICC maintenance record sheet was used to describe the condition and record the treatment measures and effects of PICC maintenance. Results During the study, complications were observed in 161 of 998 children with PICC catheter in clinic, with an incidence of 16.1%; 155 children continued to use PICC after the treatment, and 6 PICCs were forced to pull out. Conclusion There are a few complications in children's PICC maintenance clinic, but professional nursing can prevent and deal with various complications and keep the good function of the catheter.
Objective To understand the complications in the catheter maintenance of children's PICC clinic, and to propose targeted nursing measures. Methods We conducted an observational study, and a self-designed PICC maintenance record sheet was used to describe the condition and record the treatment measures and effects of PICC maintenance. Results During the study, complications were observed in 161 of 998 children with PICC catheter in clinic, with an incidence of 16.1%; 155 children continued to use PICC after the treatment, and 6 PICCs were forced to pull out. Conclusion There are a few complications in children's PICC maintenance clinic, but professional nursing can prevent and deal with various complications and keep the good function of the catheter.
引文
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[8]解丽娟,王开慧,韩玲,等.康复操预防乳腺癌术后患者PICC拔管困难的效果观察[J].护理学报,2015,22(5):58-60.DOI:10.16460/j.issn1008-9969.2015.05.058.
[2]李萍,李云.肿瘤患者门诊PICC维护过程中常见并发症及护理对策[J].微创医学,2016,11(6):962-963.DOI:10.3969/j.issn.1007-614x.2017.30.85.
[3]吴婉梅,黎逢弟,何红燕.尿激酶预防PICC堵管的效果观察[J].护理学报,2015,22(9):62-64.DOI:10.16460/j.issn1008-9969.2015.09.062.
[4]邹丽芳,郑小君,董美媛,等.导管后端修剪联合更换连接器在PICC患者导管堵塞中的应用[J].护理学报,2015,22(16):61-63.DOI:10.16460/j.issn1008-9969.2015.16.061.
[5]龙定梅,程红.糠酸莫米松联合地塞米松与庆大霉素治疗PICC局部湿疹[J].护理学杂志,2013,28(7):15-16.DOI:10.3870/hlxzz,2013.07.015.
[6]刘幼方,向贤宏,唐碧英,等.肿瘤患者PICC并发症发生的原因分析及护理[J].现代临床护理,2014,13(9):15-18.DOI:10.3969/j.issn.1671-8283.2014.09.005.
[7]路必琼,陈海燕,陈佩,等.PICC维护与患者穿刺部位针眼发红及留置时间的关系[J].护士进修杂志,2014,29(1):19-21.
[8]解丽娟,王开慧,韩玲,等.康复操预防乳腺癌术后患者PICC拔管困难的效果观察[J].护理学报,2015,22(5):58-60.DOI:10.16460/j.issn1008-9969.2015.05.058.