肿瘤化疗患者的PICC置管应用及其护理
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摘要
目的探讨肿瘤化疗患者的PICC置管应用及其护理措施。方法方便选取2016年11月—2018年11月该院肿瘤科收治的126例患者为研究对象,随机将其分为研究组和对照组,各63例。所有患者均给予PICC置管,在此基础上研究组实施综合护理干预,对照组实施常规护理干预。对比两组患者的生活质量评分、一次性置管成功率、并发症发生率。结果研究组的一次性置管成功率为95.24%%,明显高于对照组的82.54%(χ~2=5.142 9,P<0.05);研究组的并发症发生9.52%,明显低于对照组的23.81%(χ~2=4.628 6,P<0.05);研究组的生活质量评分为(60.79±3.48)分,明显高于对照组(43.68±3.54)分(t=23.357 9,P<0.05)。结论 PICC置管不仅可以起到保护血管、降低并发症发生率的作用,同时可以很大程度的提高护理人员的工作效率。同时综合护理干预,可以有效的提高一次性置管成功率,改善患者的生活质量,值得在临床中应用推广。
Objective To explore the application of PICC catheterization in cancer patients undergoing chemotherapy and its nursing measures. Methods A total of conveniently selected 126 patients admitted to the oncology department of our hospital from November 2016 to November 2018 were randomly divided into study group and control group, 63 cases in each group. All patients were given PICC catheterization. On this basis, the study group was given comprehensive nursing intervention, while the control group was given routine nursing intervention. The quality of life score, the success rate of onetime catheterization and the incidence of complications were compared between the two groups. Results The success rate of one-time catheterization in the study group was 95.24%, which was significantly higher than that in the control group(82.54%)(χ~2=5.142 9, P<0.05). The rate of complications in the study group was 9.52%, which was significantly lower than that in the control group(23.81%)(χ~2=4.628 6, P<0.05). The quality of life score in the study group was(60.79±3.48)points,which was significantly higher than that in the control group(43.68±3.54)points(t=23.357 9, P<0.05). Conclusion PICC catheterization can not only protect blood vessels and reduce the incidence of complications, but also greatly improve the work effect of staff. At the same time, comprehensive nursing intervention can effectively improve the success rate of disposable catheterization and the quality of life of patients, which is worthy of clinical application and promotion.
Objective To explore the application of PICC catheterization in cancer patients undergoing chemotherapy and its nursing measures. Methods A total of conveniently selected 126 patients admitted to the oncology department of our hospital from November 2016 to November 2018 were randomly divided into study group and control group, 63 cases in each group. All patients were given PICC catheterization. On this basis, the study group was given comprehensive nursing intervention, while the control group was given routine nursing intervention. The quality of life score, the success rate of onetime catheterization and the incidence of complications were compared between the two groups. Results The success rate of one-time catheterization in the study group was 95.24%, which was significantly higher than that in the control group(82.54%)(χ~2=5.142 9, P<0.05). The rate of complications in the study group was 9.52%, which was significantly lower than that in the control group(23.81%)(χ~2=4.628 6, P<0.05). The quality of life score in the study group was(60.79±3.48)points,which was significantly higher than that in the control group(43.68±3.54)points(t=23.357 9, P<0.05). Conclusion PICC catheterization can not only protect blood vessels and reduce the incidence of complications, but also greatly improve the work effect of staff. At the same time, comprehensive nursing intervention can effectively improve the success rate of disposable catheterization and the quality of life of patients, which is worthy of clinical application and promotion.
引文
[1]李玲敏,杨玉杰,闫冬,等.肿瘤化疗患者PICC置管的并发症原因分析及护理对策[J].基层医学论坛, 2016, 20(22):3127-3128.
[2]薛建英.肿瘤化疗患者PICC置管发生并发症原因分析及护理对策[J].医药前沿, 2017(7):97.
[3]阮璐,李晓军.肿瘤患者108例PICC置管化疗的应用和护理[J].中国冶金工业医学杂志, 2016, 33(2):135-136.
[4]贾杏梅.个性化护理在肿瘤患者化疗期间PICC置管中的应用[J].中国继续医学教育, 2016, 8(21):253-254.
[5]朱晓红,刘兆坤,尹国红.个性化护理在癌症患者化疗期间PICC置管中的应用效果探讨[J].中国保健营养, 2016(2):198-199.
[6]胡静.肿瘤化疗患者PICC置管后常见并发症的原因分析及护理对策[J].中国现代药物应用, 2016, 10(9):214-215.
[7]杜红伟.探讨PICC置管在肿瘤化疗患者中的应用及护理[J].中外医疗, 2014,33(21):169-170.
[8]蒋海兰. PICC导管在肿瘤化疗患者中的应用与护理要点探讨[J].中外医疗, 2015,34(16):138-139.
[2]薛建英.肿瘤化疗患者PICC置管发生并发症原因分析及护理对策[J].医药前沿, 2017(7):97.
[3]阮璐,李晓军.肿瘤患者108例PICC置管化疗的应用和护理[J].中国冶金工业医学杂志, 2016, 33(2):135-136.
[4]贾杏梅.个性化护理在肿瘤患者化疗期间PICC置管中的应用[J].中国继续医学教育, 2016, 8(21):253-254.
[5]朱晓红,刘兆坤,尹国红.个性化护理在癌症患者化疗期间PICC置管中的应用效果探讨[J].中国保健营养, 2016(2):198-199.
[6]胡静.肿瘤化疗患者PICC置管后常见并发症的原因分析及护理对策[J].中国现代药物应用, 2016, 10(9):214-215.
[7]杜红伟.探讨PICC置管在肿瘤化疗患者中的应用及护理[J].中外医疗, 2014,33(21):169-170.
[8]蒋海兰. PICC导管在肿瘤化疗患者中的应用与护理要点探讨[J].中外医疗, 2015,34(16):138-139.