肿瘤患者静脉通路装置产生症状困扰的现状调查  

Symptom distress of venous access device in tumor patients

作　　者：师佳佳[1] 刘美兰[1] 盛小燕[2] 蔡文智[3] 

机构地区：[1]广州医科大学第三附属医院血液内分泌科,510150 [2]南方医科大学附属中西医结合医院肿瘤科,广州510315 [3]南方医科大学护理学院,广州510515

出　　处：《中华现代护理杂志》2015年第29期3517-3520,共4页Chinese Journal of Modern Nursing

基　　金：广东省科技计划项目（20118031800129）

摘　　要：目的：对接受化疗的肿瘤患者的静脉通路选择现状进行调查，了解各种静脉通路装置的使用现状，以及患者存在的输液相关的症状困扰及其程度。方法2012年1月—2015年1月，自行设计肿瘤化疗患者静脉通路影响因素及症状困扰的调查问卷，采用便利抽样法，选择广州2所三级甲等医院进行化疗的376例肿瘤患者进行调查，分析其静脉通路装置使用现状、并发症情况及患者输液相关的症状困扰程度。结果化疗期间376例肿瘤患者输液困扰总分为（10.06±2.31）分，其中症状得分为（1.29±1.38）分，困扰程度得分为（9.43±2.01）分，并发症的总发生率为63.6%，总困扰程度为51.6%。不同年龄、血管穿刺难易程度、化疗次数、癌症分期患者之间的症状困扰总分差异有统计学意义（P〈0.05）。结论肿瘤患者输液相关的并发症发生率越高，患者的症状困扰程度也越高。肿瘤患者输液相关的症状困扰的程度受到患者年龄、化疗次数、诊断分期的影响。Objective To investigate the selective status of venous access among tumor patients with chemotherapy, and probe into the usage of different venous access devices and patient′s existed symptom distress and its degree of transfusion. Methods From January 2012 to January 2015, self designed questionnaire, which was about venous access influencing factors and symptom distress for tumor patients with chemotherapy, was used among 376 patients with chemotherapy selected from 2 level three class A hospitals in Guangzhou by convenient sampling method. We analyzed current venous access devices status, complications and patient′s＆amp;nbsp;transfusion related symptom distress degrees. Results The total score of transfusion distress among 376 tumor patients was （10. 06 ± 2. 31）, in which the score of symptom was （1. 29 ± 1. 38）, score of distress degree （9. 43 ± 2. 01）, total incidence of symptom distress 63. 6% and total distress degree 51. 6%. The total score′s differences of symptom distress were statistical significant among different ages, difficult degrees of blood vessel puncture, times of chemotherapy and cancer stagings （P 〈0. 05）. Conclusions A high symptom distress incidence of cancer patients′ transfusion happens, which leads to a high degree of patient′s symptom distress. Tumor patient′s transfusion related symptom distress degree impacts by patient′s ages, times of chemotherapy, diagnosis of cancer stagings.

关 键 词：肿瘤患者 化疗 症状困扰 静脉通路 现状调查 

分 类 号：R473.73[医药卫生—护理学]