不同护理方式对80例癌症患者置入中心静脉导管影响.docVIP

不同护理方式对80例癌症患者置入中心静脉导管影响[摘要] 目的 探讨不同护理方式对癌症患者置入中心静脉导管的影响。 方法 选取本院80例癌症需要化疗的患者，将其随机分为观察组40例和对照组40例。对照组给予常规护理，观察组给予循证护理。观察比较两组患者临床疗效及并发症情况。 结果 观察组总有效率为60.0%，对照组总有效率为40.0%，两组总有效率比较差异有统计学意义（P ＜ 0.05）。观察组并发症发生率为7.5%，对照组并发症发生率为20.0%，两组比较差异有统计学意义（P ＜ 0.05）。 结论 循证护理提高了置入中心静脉导管的癌症患者的临床疗效，降低了其并发症发生率，是一种科学有效的方法，值得临床推广应用。 [关键词] 循证护理；癌症；化疗；中心静脉导管 [中图分类号] R473.73 [文献标识码] A [文章编号] 1674-4721（2012）06（a）-0123-02 Effect on difference nursing models to 80 cancer patients with central venous catheter ZHANG Yufen General Office, the Branch Hospital of the First Hospital of Zibo City in Shandong Province, Zibo 255202, China [Abstract] Objective To discuss the effect on difference nursing model to 80 cancer patients with central venous catheter. Methods Eighty patients with cancer who require chemotherapy in our hospital were selected and divided into observation group (40 cases) and control group (40 cases). The control group was given conventional nursing, and the observation group was given evidence-based nursing. The clinical effect and complication of two groups were compared. Results The total effective rate of observation group was 60.0%, which of the control group was 40.0%, there was significant difference on the total effective rate between the two groups (P ＜ 0.05). The complication of observation group was 7.5%, which of the control group was 20.0%, there was significant difference between the two groups (P ＜ 0.05). Conclusion Evidence-based nursing can increase the clinical effect of patients with PICC, reduce the complication, so it is a scientific and effective method which is worthy of clinical promotion. [Key words] Evidence-based nursing; Cancer; Chemotherapy; Central venous catheter 目前，癌症已经成为我国居民的第一死亡原因，占20%以上，而静脉化疗是治疗恶性肿瘤的主要手段之一。经外周静脉置入中心静脉导管（peripherally inserted central catheter，PICC）往往适用于需要长期禁食、静脉营养支持、输入刺激高渗的化疗药物、排出恶性胸腔积液等癌症患者，虽然其具有安全、可靠、留置时间长等优点，但导管在留置及护理过程中也容易出现各种并发症[1-2]。笔者现对不同护理方式对PICC置管癌症患者的影响进行探讨，报道如下： 1 资料与方法 选取本院2011年1～12月癌症住院患者80例，所有患者均接受