预见性护理在肿瘤化疗深静脉导管堵塞中的效果.docVIP

预见性护理在肿瘤化疗深静脉导管堵塞中的效果 　　【摘要】 目的：分析预见性护理在肿瘤化疗深静脉导管堵塞中的临床效果。方法：选取2012年4月-2014年4月180例化疗的肿瘤患者作为研究对象，按照护理方法的不同分为研究组和对照组，各90例。研究组患者给予预见性护理方案，对照组患者给予常规护理方案。记录两组患者置管后出现的导管相关性血栓、机械性静脉炎、导管堵塞等并发症的发生率，并对护理满意度进行比较。结果：两组患者置管后均出现导管相关性血栓、穿刺部位出血、导管移位、导管堵塞等并发症，两组比较，差异有统计学意义（P0.05）；研究组患者的护理满意度（92.2%）明显高于对照组（70.0%），两组比较，差异有统计学意义（字2=4.4986，P0.05）。结论：预见性护理可以显著降低肿瘤化疗过程中的导管堵塞、局部感染等并发症的发生率，满意度较高，值得临床长期应用和推广。 　　【关键词】 预见性护理； 肿瘤； 深静脉导管 　　中图分类号 R722.17 文献标识码 B 文章编号 1674-6805（2016）26-0063-02 　　【Abstract】 Objective：To analyze the effect of nursing care in cancer chemotherapy in the deep venous catheter blockage.Method：From April 2012 to April 2014，180 cancer patients with deep venous catheter in our hospital were selected as an object of study，according to different methods of care，they were divided into the study group and the control group.The study group was treated with nursing care，the control group was treated with conventional routine care.The incidence of complications of catheter and catheter blockage rate，and nursing satisfaction of the two groups were analyzed and compared.Result：The study group of patients with catheter-related thrombosis，duct blockage blocking incidence rate were significantly lower than those in the control group，the nursing satisfaction of the study group was higher than the control group，the differences were all statistically significant（P0.05）.Conclusion：Nursing care in cancer chemotherapy applied deep venous catheter blockage can reduce the incidence of catheter blockage rate and complications，it is worthy of long-term application and promotion. 　　【Key words】 Nursing care； Tumor； Deep venous catheter 　　First-author’s address：The Second Hospital of Longyan City，Longyan 364000，China 　　doi：10.14033/j.cnki.cfmr.2016.26.034 　　深静脉导管可以进行快速补液、输血、检测CVP，具有并发症少、安全性高等优点，在肿瘤化疗中受到了广泛应用[1]。临床上常用的深静脉置管的方式有股静脉置管、颈内静脉置管和PICC置管等，虽然几种方式的操作技术很成熟，但也存在静脉炎、感染、出血等并发症，且由于肿瘤患者的血液存在高凝的现象，所以在并发症中导管堵塞的发生率为最高。预见性护理干预能够对患者的不良预后和并发症等情况提早做出预防，进而促进患者的身体康复，这种护理方式是护士通过自身的专业知识和临床经验在患者没有意