护理干预对白血病患儿PICC置管并发症影响.docVIP

护理干预对白血病患儿PICC置管并发症影响 　　摘要： 目的：探讨护理干预对白血病患儿使用外周中心静脉置管（PICC）并发症的影响。方法：选取我院2013年7月至2015年1月间使用PICC置管的白血病患儿56例作为观察对象，随机分为对照组和研究组，各28例。其中28例实施一般PICC置管的常规护理并进行健康宣教设为对照组，28例除实施一般的PICC置管护理常规外还进行每周一次的绘画治疗及心理疏导、个体干预和病室随访等护理干预措施设为研究组，对临床效果进行分析比较。结果：观察组发生并发症15例发生率为53.5%;研究组发生并发症1例发生率为3.5%（Plt;0.05）。两组比较研究组患儿进行护理干预后并发症明显少于对照组，护理满意度研究组96.4%对照组71.4%明显高于对照组，两组数据存在统计学差异（Plt;0.05）。结论：有效的护理干预能降低患儿置管后并发症的发生率，为整个化疗过程提供有效的静脉通道，对临床治疗起着重要作用和意义。 　　关键词： 白血病患儿 ，外周中心静脉置管，并发症，护理干预 　　Abstract：Objective：？Tostudy the effect of nursing interventions for leukemia children who used central venous catheter （PICC）.Method：Picking 56？leukemia childrenwithPICC catheterin our hospitalfrom July 2013 to January 2015as research objects. Theywere randomly divided into control group and research group， with 28 cases each. We carried outgeneral PICC catheter routine nursing and health educationfor 28 cases， and made them？the control group. To be compared， the othergroup wasaddedweekly drawing therapy， psychological counseling， individual intervention and follow-up ward nursing interventions.Therefore the？clinical effects could be analyzed and compared obviously. Result：The incidence of complication in the control group was 53.5% （15 cases）while the other group was 3.5%（1 case）.So it’s apparently that the more nursing intervention a patient can get， the less chance he will suffer the complications. In the meantime the nursing satisfaction shows that the research group is much higher than the control group by 96.4% over 71.4%.Two groups of data statistical differences （P lt; 0.05）Conclusion：Effective nursing intervention can reduce the incidence of complications afterusing PICC， providing better venous channel in the course of chemotherapy， which isplaying a more and more important roleinclinical treatment. 　　Keywords：Children with leukemia PICC Complications Nursing Intervention 　　联合化疗是白血病患儿主要的治疗手段，建立一条好的静脉通道不仅减少患儿重复静脉穿刺的痛苦，更重要的是可以避免化疗药物对外周静脉的破坏和局部组织的刺激，达到保护外周血管，减少局部不良反应，保证化疗全程顺利的目标。 经外周静脉置入中心静脉导管PICC是经