基于维护网的延续性护理在肿瘤患者PICC置管维护中的作用  

Application of continuous nursing based on maintenancenetwork for cancer patients withperipherally inserted central catheter

作　　者：孙园园[1] 屈惠琴[1] 陆云[1] 

机构地区：[1]江苏省昆山市中医医院外科,江苏昆山215300

出　　处：《中西医结合护理（中英文）》2017年第8期133-135,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨以维护网为基础的延续性护理在肿瘤患者PICC置管维护中的作用。方法选取2016年5月—12月PICC置管肿瘤患者75例为对照组,2017年1月—5月PICC置管肿瘤患者80例为实验组。2组PICC置管患者均在乡镇医院进行导管维护。实验组在对照组的基础上实施以PICC维护网为基础的延续性护理。观察2组导管相关性并发症、非计划性拔管的发生率及患者对PICC维护的满意率。结果实验组并发症发生率为3.75%(3/80),低于对照组的22.67%(17/75),差异有统计学意义(P<0.05)。实验组导管非计划性拔管率为1.25%(1/80),低于对照组的8.00%(6/75),差异有统计学意义(P<0.05)。实验组患者满意率高于对照组(P<0.05)。结论对PICC置管肿瘤患者实施以维护网为基础的延续性护理,可以有效降低导管并发症和非计划性拔管的发生。Objective To investigate the application value of continuous nursing based on maintenancenetwork for cancer patients withperipherally inserted central catheter( PICC). Methods Totally 75 cancer patients with PICC were selected as the control group between May,2016 and December,2016. Another 80 patients were enrolled as the study group betweenJanuary,2017 and May,2017. The PICC maintenance of patients was carried out in townshiphospital. Patients in the study group received continuous nursing based on PICC maintenancenetwork. The incidence of catheter-related complication,unplanned extubation and satisfaction degree to PICC maintenance were observed and compared between two groups. Results The incidence of catheter-related complication and unplanned extubation was 3. 75%( 3/80) and 1. 25%( 1/80) in the study group,and was 22. 67%( 17/75) and 8. 00%( 6/75) in the control group,with significant difference( P< 0. 05). Patients in the study group were more satisfied with PICC maintenance compared with those in the control group( P < 0. 05). Conclusion Continuous nursing based on PICC maintenancenetwork can effectively reduce the risk of catheter-related complication and unplanned extubation in cancer patients with PICC.

关 键 词：经外周静脉穿刺置入中心静脉导管 导管维护 维护网络 延续性护理 并发症 非计划性拔管 

分 类 号：R473.73[医药卫生—护理学]