家属参与模式在PICC带管乳腺癌患者化疗间歇期中的应用
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摘要
目的:探讨家属参与模式在经外周静脉置入中心静脉导管(PICC)带管乳腺癌患者化疗间歇期中的应用效果。方法:选择2015年5月至2016年9月广西医科大学第一附属医院肿瘤科住院的120例PICC带管乳腺癌患者,按照患者及其家属意愿分为对照组和观察组,每组60例。在化疗间歇期,对照组予以常规返院导管维护,观察组由患者家属居家进行导管维护。比较两组患者自置管至拔管期间PICC导管相关并发症发生率、导管维护的依从性、导管留置时间的差异。结果:自置管至拔管期间,观察组导管维护的依从性优于对照组,过敏性皮炎的发生率低于对照组,差异有统计学意义(P<0.05);两组张力性水泡、穿刺口感染、导管脱出比较,差异无统计学意义(P>0.05);观察组导管相关性血流感染、深静脉血栓发生率与对照组比较,差异无统计学意义(P>0.05)。结论:家属参与模式应用于PICC带管乳腺癌患者化疗间歇期中可提高患者导管维护的依从性,降低过敏性皮炎的发生率。
Objective:To investigate the effect of families' participation in the nursing care in breast cancer patients with peripherally inserted central catheter(PICC)during chemotherapy.Methods:From May 2015 to September 2016,a total of 120 breast cancer patients with PICC were enrolled and divided into a control group and an observation group,with 60 cases in each group.During chemotherapy,the patients in the control group routinely returned to the hospital for catheter maintenance,while those in the observation group received catheter maintenance by families at home.The incidence of PICC catheter related complications,catheter maintenance compliance,and catheter indwelling time were compared between the two groups.Results:From inserting to removing the catheter,the compliance of catheter maintenance was higher in the observation group than that in the control group,while the incidence of allergic dermatitis was lower(P <0.05).No significant difference was found in the incidence of catheter dislodgement,puncture infection,catheter-related bloodstream infection,deep venous thrombosis and catheter indwelling time between the two groups(P>0.05).Conclusion:The participation of families in the nursing care of breast cancer patients with PICC during the course of chemotherapy could improve the compliance of catheter maintenance and reduce the incidence of allergic dermatitis.
Objective:To investigate the effect of families' participation in the nursing care in breast cancer patients with peripherally inserted central catheter(PICC)during chemotherapy.Methods:From May 2015 to September 2016,a total of 120 breast cancer patients with PICC were enrolled and divided into a control group and an observation group,with 60 cases in each group.During chemotherapy,the patients in the control group routinely returned to the hospital for catheter maintenance,while those in the observation group received catheter maintenance by families at home.The incidence of PICC catheter related complications,catheter maintenance compliance,and catheter indwelling time were compared between the two groups.Results:From inserting to removing the catheter,the compliance of catheter maintenance was higher in the observation group than that in the control group,while the incidence of allergic dermatitis was lower(P <0.05).No significant difference was found in the incidence of catheter dislodgement,puncture infection,catheter-related bloodstream infection,deep venous thrombosis and catheter indwelling time between the two groups(P>0.05).Conclusion:The participation of families in the nursing care of breast cancer patients with PICC during the course of chemotherapy could improve the compliance of catheter maintenance and reduce the incidence of allergic dermatitis.
引文
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[2]国家卫生计生委.静脉治疗护理技术操作规范[J].中国护理管理,2014,14(1):1-4.
[3]ABEDIN S,KAPOOR G.Peripherally inserted central venous catheters are a good option for prolonged venous access in children with cancer[J].Pediatric Blood&Cancer,2008,51(2):251.
[4]PARK K,JUN H J,ON S Y.Safety,efficacy,and patient-perceived satisfaction of peripherally inserted central catheters in terminally ill cancer patients:aprospective multicenter observational study[J].Supportive Care in Cancer,2016,24(12):4987-4992.
[5]姜敏,张帆,李红.经外周静脉置入中心静脉导管与超声引导下置管对置管感染影响的临床研究[J].中华医院感染学杂志,2015,25(9):2023-2024,2027.
[6]刘洋,刘宁,郝振民,等.乳腺癌患者超声中心静脉导管引导置管感染的分析[J].中华医院感染学杂志,2016,26(16):3766-3767,3770.
[7]张伟.肿瘤患者留置PICC导管相关性血流感染的研究[J].中华医院感染学杂志,2013,23(6):1306-1307.
[8]赵林芳.国内外输液小组与PICC管理研究进展[J].中国护理管理,2009,4(2):5-9.
[9]中华医学会重症医学分会.血管内导管相关感染的预防与治疗指南(2007)[J].中国实用外科杂志,2008,28(6):413-421.