446例PICC置管肿瘤患者居家期间护理问题分析  

466 cases of tumor patients with PICC catheter in family nursing period:problem analysis

作　　者：张美英[1] 吴红娟[1] 王春兰[1] 陈雪峰[1] 马娟[1] 姚建青[1] 

机构地区：[1]浙江省肿瘤医院,浙江杭州310022

出　　处：《中国农村卫生事业管理》2013年第9期1056-1058,共3页Chinese Rural Health Service Administration

摘　　要：目的:分析PICC置管肿瘤患者居家期间的护理问题,为更好地开展PICC携管患者的院后服务提供依据。方法:对446例PICC携管出院患者进行电话随访,每周1次,持续3～16周。分析随访到的PICC护理问题包括置导管并发症、导管维护以及与影响患者日常生活的有关问题,评价健康教育效果。结果:446例患者中存在导管相关并发症88例(19.73%),导管维护问题43例(9.6%),大部分患者存在影响日常生活问题。电话随访式健康教育对患者置管手臂活动行为改变最为有效(75.5%)、沐浴行为改变效果最差(33.4%)。结论:肿瘤患者PICC携管期间的院后护理不容忽视,电话随访能主动给患者提供院后护理咨询服务,改变患者的不健康行为。Objective To analyze problems encountered by tumor patients with PICC catheter in family nursing peri- od, and to provide a basis for better extramural hospital services for patients with PICC catheter. Methods Telephone follow--up was conducted of 446 cases of discharged patients with indwelling PICC catheter,once a week for 3--16 weeks. Analysis was made of the PICC catheter nursing problems including catheter--related complications, catheter maintenance and influence of patients＂ daily life, and the effect of health education was evaluated. Results Among 446 ca- ses of patients atheter --related complications were found in 88 cases （19.73 %）,catheter maintenance problems in 43 cases（9.6 ~）. The majority of patients had problems affecting daily life. Health education in telephone follow--up was most effective in behavior change of arm with catheter （75.5%） ,and most ineffective in change of bath behavior （33. 4 %）. Conclusions The extramural hospital nursing of discharged tumor patients with indwelling PICC catheter can not be ignored. Telephone follow--up can take the initiative to provide family nursing and advisory services,as well as to change patients＇unhealthy behaviors.

关 键 词：PICC 随访 健康教育 

分 类 号：R473.73[医药卫生—护理学]