优质护理对小儿急性白血病PICC相关并发症的预防作用探讨.docVIP

优质护理对小儿急性白血病PICC相关并发症的预防作用探讨 何凤莉 (商丘市第一人民医院儿重重症监护室PICU 河南商丘 476100) [摘要] 目的 探讨在小儿急性白血病中采用优质护理对外周静脉置入中心静脉导管（PICC）相关并发症的预防作用。方法 选择2015年6月至2017年10月我院收治的急性白血病患儿60例，随机将其分为观察组与对照组，每组各30例。观察组予优质护理，对照组予常规护理。比较两组PICC相关并发症发生情况与满意度情况。结果 观察组PICC相关并发症发生率较对照组低，满意度较对照组高，差异有统计学意义（P＜0.05）。结论 在小儿急性白血病中采用优质护理能有效降低患儿PICC相关并发症的发生率，提高患儿生活质量。 [关键词] 急性白血病；小儿；优质护理；PICC；并发症 Preventive effect of high quality nursing on PICC related complications in children with acute leukemia He Fengli (Shangqiu First Peoples Hospital, pediatric intensive care unit PICU Henan Shangqiu 476100) [Abstract] Objective To investigate the preventive effect of high quality nursing on peripheral venous catheter (PICC) related complications in children with acute leukemia. Methods the 60 cases of acute leukemia in our hospital from 2015 years 6 to 2017 10 months were selected and randomly divided into the observation group and the control group, each group was 30 cases. The observation group was given high quality nursing, and the control group was given routine nursing. The incidence of complications and satisfaction of the two groups were compared in the two groups. Results the incidence of PICC related complications in the observation group was lower than that in the control group, and the degree of satisfaction was higher than that of the control group, and the difference was statistically significant (P 0.05). Conclusion the use of high quality nursing in children with acute leukemia can effectively reduce the incidence of PICC related complications and improve the quality of life of children. [Key words] acute leukemia; children; quality care; PICC; complications 小儿急性白血病临床主要采用化疗药物治疗，PICC中心静脉置管是常用的留置方式，因患儿需长期治疗，故经常发生导管堵塞、脱落等意外事件，对患儿治疗造成一定的影响[1]。既往临床常规护理只关注患儿疾病的治疗，对患儿其他方面关注较少，导致患儿常发生PICC堵管现象，进而延误疾病的治疗[2]。优质护理是以患儿为中心，对常规护理进行改进，能有效减轻患儿不良情绪，降低并发症几率。为此，本研究在小儿急性白血病中采用优质护理，并探讨其对患儿PICC相关并发症的预防作用。具体信息如下。 1 资料与方法 1.1 一般资料 选择2015年6月至2017年10月我院收治的急性白血病患儿60例，本研究经我院伦理委员会批准。随机将其分为观察组与对照组，每组各30例。观察组中男16例，女14例；年龄4-14岁，平均年龄（