肿瘤化疗患者PICC导管维护中应用集束化护理意义探析.docVIP

肿瘤化疗患者PICC导管维护中应用集束化护理意义探析 　　【摘要】 目的 研究肿瘤化疗患者经外周静脉置入中心静脉导管（PICC）导管维护中应用集束化护理的意义。方法 68例肿瘤化疗患者， 随机分常规组和技集束组， 每组34例。常规组采用常规护理方法进行PICC导管维护， 集束组采用集束化护理方法进行PICC导管维护。比较两组患者导管维护满意度；观察局部皮肤炎性反应、血栓、全身不良反应的发生情况；维护前后生存质量的差异。结果 集束组患者导管维护满意度为97.06%， 高于常规组的73.53%， 差异具有统计学意义（P0.05）；维护后集束组生存质量改善幅度明显优于常规组， 差异具有统计学意义（P0.05）。结论 肿瘤化疗患者PICC导管维护中应用集束化护理的效果确切， 可有效减少局部皮肤炎性反应、血栓、全身不良反应等PICC导管置管不良事件的发生， 提高患者满意度和生存质量， 值得推广应用。 　　【关键词】 肿瘤化疗患者；经外周静脉置入中心静脉导管；维护；集束化护理；意义 　　DOI：10.14163/j.cnki.11-5547/r.2017.12.076 　　【Abstract】 Objective To research significance by bundle nursing applied in peripherally inserted central catheter （PICC） maintenance for patients in tumor chemotherapy. Methods A total of 68 patients in tumor chemotherapy were randomly divided into conventional group and bundle group， with 34 cases in each group. The conventional group received conventional measure for PICC maintenance， and the bundle group received bundle nursing for PICC maintenance. Comparison was made on satisfaction degree of catheter maintenance between the two groups， observation was made on occurrence of local skin inflammatory reactions， thrombus， and general adverse reactions， and difference in quality of life before and after maintenance. Results The bundle group had higher satisfaction degree of catheter maintenance as 97.06% than 73.53% in the conventional group， and the difference had statistical significance （P0.05）. After maintenance， the bundle group had obviously better improvement in quality of life than the conventional group， and the difference had statistical significance （P0.05）. Conclusion Implement of bundle nursing in PICC maintenance for patients in tumor chemotherapy shows precise effect. It can effectively reduce occurrence of PICC-induced adverse reactions of local skin inflammatory reactions， thrombus， and general adverse reactions， and improve satisfaction degree and quality of life in patients. This method is worth promoting and applying. 　　【Key words】 Patients in tumor chemotherapy