家属参与模式在PICC带管乳腺癌患者化疗间歇期中的应用  

Effect of families' participation in the nursing care in breast cancer patients with PICC during the course of chemotherapy

作　　者：吴林秀[1] 应燕萍[2] 王朋朋[3] 凌瑛[2] 黄惠桥[2] 陈国连[2] 赵慧函 Wu Linxiu;Ying Yanping;Wang Pengpeng;Ling Ying;Huang Huiqiao;Chen Guolian;Zhao Huihan(Guangxi Medical College,Nanning 530021,China;The First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China;Guangxi Medical University,Nanning 530021,China)

机构地区：[1]广西卫生职业技术学院,南宁530021 [2]广西医科大学第一附属医院,南宁530021 [3]广西医科大学,南宁530021

出　　处：《广西医科大学学报》2018年第7期1029-1033,共5页Journal of Guangxi Medical University

基　　金：广西医疗卫生适宜技术研究与开发基金资助项目(No.S201524);2017年护理管理基金资助项目(No.CNM-2017-12)

摘　　要：目的:探讨家属参与模式在经外周静脉置入中心静脉导管(PICC)带管乳腺癌患者化疗间歇期中的应用效果。方法:选择2015年5月至2016年9月广西医科大学第一附属医院肿瘤科住院的120例PICC带管乳腺癌患者,按照患者及其家属意愿分为对照组和观察组,每组60例。在化疗间歇期,对照组予以常规返院导管维护,观察组由患者家属居家进行导管维护。比较两组患者自置管至拔管期间PICC导管相关并发症发生率、导管维护的依从性、导管留置时间的差异。结果:自置管至拔管期间,观察组导管维护的依从性优于对照组,过敏性皮炎的发生率低于对照组,差异有统计学意义(P<0.05);两组张力性水泡、穿刺口感染、导管脱出比较,差异无统计学意义(P>0.05);观察组导管相关性血流感染、深静脉血栓发生率与对照组比较,差异无统计学意义(P>0.05)。结论:家属参与模式应用于PICC带管乳腺癌患者化疗间歇期中可提高患者导管维护的依从性,降低过敏性皮炎的发生率。Objective：To investigate the effect of families＇ participation in the nursing care in breast cancer patients with peripherally inserted central catheter（PICC）during chemotherapy.Methods：From May 2015 to September 2016,a total of 120 breast cancer patients with PICC were enrolled and divided into a control group and an observation group,with 60 cases in each group.During chemotherapy,the patients in the control group routinely returned to the hospital for catheter maintenance,while those in the observation group received catheter maintenance by families at home.The incidence of PICC catheter related complications,catheter maintenance compliance,and catheter indwelling time were compared between the two groups.Results：From inserting to removing the catheter,the compliance of catheter maintenance was higher in the observation group than that in the control group,while the incidence of allergic dermatitis was lower（P 0.05）.No significant difference was found in the incidence of catheter dislodgement,puncture infection,catheter-related bloodstream infection,deep venous thrombosis and catheter indwelling time between the two groups（P〉0.05）.Conclusion：The participation of families in the nursing care of breast cancer patients with PICC during the course of chemotherapy could improve the compliance of catheter maintenance and reduce the incidence of allergic dermatitis.

关 键 词：家属参与模式 PICC 乳腺癌 导管维护 

分 类 号：R473.73[医药卫生—护理学]