综合支持度与PICC带管期间不良事件的相关性分析  

Analysis on correlations between overall support degrees and adverse events during PICC

作　　者：陶凤来[1] 徐莲英[1] 孙舒君[1] 

机构地区：[1]上海交通大学医学院附属瑞金医院消化科,上海市200025

出　　处：《护理实践与研究》2016年第10期66-68,共3页Nursing Practice and Research

摘　　要：目的:了解肿瘤化疗患者外周静脉中心静脉导管置管(PICC)前综合支持度与置管不良事件相关性。方法:采用方便抽样的方法抽取肿瘤化疗患者240例作为调查对象,通过"置管前评估表""HRQOL 3.0版本调查问卷",对患者置管前综合支持度、置管不良事件及生活质量进行调查分析。结果:肿瘤患者主观支持、客观支持、支持利用度各维度得分均在1分以下,支持度较低;肿瘤患者PICC置管发生导管移位、导管脱位、导管脱出比例分别为19.16%,5.0%,15.41%,发生静脉炎、相关性血流感染、相关性血栓比例分别为12.50%,4.58%,2.08%。低综合支持度患者与高综合支持度患者置管有效性、安全性、生活质量3方面比较差异均具有统计学意义(P<0.05)。结论:肿瘤化疗患者综合支持度低可影响PICC置管有效性与安全性,使其生活质量降低。Objective： To find out correlations between overall support degrees before peripherally inserted central catheter（ PICC） for patients treated with tumor chemotherapy and adverse events during PICC. Methods： Through convenience sampling,selected 240 cases of patients treated with tumor chemotherapy as our respondents,and investigated and analyzed overall support degrees before PICC,adverse events during PICC,and life quality of patients via ＂ assessment form before PICC＂ and ＂ 3. 0 version of HRQOL questionnaire＂. Results： Scores on subjective support,objective support and support utilization of tumor patients were all less than 1,indicating relatively low support degrees; occurrence rates of catheter translocation,catheter dislocation and catheter drop during PICC were 19. 16%,5. 0% and 15. 41% separately,and the occurrence rates of Phlebitis,associated bloodstream infection and associated thrombus were 12. 50%,4. 58% and 2. 08%. The differences in PICC efficacy,security and life quality between patients with high and low overall support degrees had statistical significances（ P 〈0. 05）. Conclusion： Overall support degrees of patients treated with tumor chemotherapy can influence PICC efficacy and security,and reduce their life quality.

关 键 词：经外周静脉穿刺中心静脉置管 支持度 不良事件 生活质量 化疗 

分 类 号：R473.73[医药卫生—护理学]