两种静脉置管方式对乳腺癌化疗患者生活质量和SAS、SDS评分影响分析  

Analysis about the effects of two intravenous catheterization methods on quality of life, SAS and SDS scores in patients undergoing breast cancer and chemotherapy

作　　者：阿丽达克 苏力担卡扎·仇曼 王海燕 ALidake;Sulidankazha Chouman;WANG Haiyan(Department of Breast Surgery,Digestive Vascular Surgery Center,the First Affiliated Hospital of Xinjiang Medical university,Urumqi,830054,China;Department of Pancreatic Surgery,Digestive Vascular Surgery Center,the First Affiliated Hospital of Xinjiang Medical university,Urumqi,830054,China)

机构地区：[1]新疆医科大学第一附属医院消化血管外科中心乳腺外科,乌鲁木齐830054 [2]新疆医科大学第一附属医院消化血管外科中心胰腺外科,乌鲁木齐830054

出　　处：《新疆医学》2022年第11期1360-1363,共4页Xinjiang Medical Journal

基　　金：新疆医科大学人文社科项目(项目编号:2015XYDSK20)

摘　　要：目的分析植入式静脉输液港(Implantable venous accessport IVAP)与外周静脉穿刺中心静脉置管(Peripherally inserted central catheterPICC)对乳腺癌术后化疗患者生活质量和SAS、SDS评分影响,及两种置管方式相关并发症的护理观察。方法选取本院2019年1月-2020年1月收治的因乳腺癌化疗患者157例,按其所采取的静脉置管方式分为输液港组(观察组)77例,PICC组(对照组)80例。两组置管前均采取同质化护理干预,对比两组SAS、SDS评分、生活质量评分变化情况,观察两组置管后相关并发症发生率。结果置管前观察组与对照组在SAS、SDS评分比较无统计学差异(P>0.05)。置管后观察组SAS、SDS评分明显低于对照组,比较有统计学差异(P<0.05)。组内比较置管前、后SAS、SDS评分,两组置管后评分均低于置管前,比较有统计学差异(P<0.05)。与对照组相比,观察组生活质量评分较高,比较有统计学差异(P<0.05)。观察组置管相关并发症发生率2.6%,低于对照组的53.75%,两组比较有统计学差异(P<0.05)。结论同质化护理干预前提下,输液港静脉置管方式可降低患者SAS、SDS评分,提高患者生活质量。输液港静脉置管方式具有较低的置管相关并发症发生率,安全性好,值得临床推广。Objective To analyze the effect of Implantable Venous access port(IVAP)and Peripherally inserted central catheter(PICC)on quality of life,SAS and SDS scores of patients undergoing breast cancer and chemotherapy,and observe complications related to two kinds of catheterization method.Methods 157 patients with breast cancer undergoing chemotherapy admitted to our hospital from January 2019 to January 2020 were selected and divided into infusion port group(observation group)(77 cases)and PICC group(control group)(80 cases)according to their intravenous catheterization method.The two groups were given homogeneous nursing intervention before catheterization,and the changes of SAS,SDS and quality of life scores were compared between the two groups,and the incidence of related complications after catheterization was observed between the two groups.Results There were no significant differences in SAS and SDS scores between the observation group and the control group before catheterization(P>0.05).SAS and SDS scores of the observation group were significantly lower than those of the control group after catheterization(P<0.05).SAS and SDS scores before,after and after catheterization were compared in the two groups,and the scores after catheterization were lower than those before and after catheterization,with statistical differences(P<0.05).Compared with the control group,the quality of life score of the observation group was higher,and the difference was statistically significant(P<0.05).The incidence of catheterism-related complications in the observation group was 2.6%,which was lower than that in the control group(53.75%),and there was statistical difference between the two groups(P<0.05).Conclusion Under the premise of homogenized nursing intervention,intravenous catheterization in infusion port can reduce the SAS and SDS scores of patients and improve the quality of life of patients.Intravenous catheterization in infusion port has a low incidence of catheter-related complications,has good safety and it is worthy of

关 键 词：输液港 PICC 护理 并发症 SAS评分 SDS评分 生活质量 

分 类 号：R473.73[医药卫生—护理学]