同质化管理模式在留置PICC行静脉化疗的结直肠癌患者中的应用效果  

Study on the effect of consistent and standardized management in indwelling PICC for intravenous chemotherapy among patients with colorectal cancer

作　　者：姜牡丹[1] 王立新[1] 白云凤[1] 刘燕君 姜涛[1] JIANG Mudan;WANG Lixin;BAI Yunfeng;LIU Yanjun;JIANG Tao(Department of General Surgery,the First Affiliated Hospital of Harbin Medical University,Harbin 150001,Heilongjiang,China)

机构地区：[1]哈尔滨医科大学附属第一医院普外科

出　　处：《癌症进展》2020年第1期103-105,共3页Oncology Progress

摘　　要：目的探讨同质化管理模式在留置外周静脉置入中心静脉导管(PICC)行静脉化疗的结直肠癌患者中的应用效果。方法依据临床管理方式的不同将留置PICC行静脉化疗的96例结直肠癌患者分为对照组和观察组,对照组采用常规管理模式,观察组在常规管理的基础上采用同质化管理模式。比较两组患者置管期间的舒适度、并发症发生率及满意度。结果置管期间,观察组中对置管感到舒适患者所占比例为95.83%,高于对照组的83.33%(P﹤0.05);观察组患者的并发症总发生率为8.33%,低于对照组的25.00%(P﹤0.05);观察组患者的满意度明显高于对照组(P﹤0.01)。结论对于留置PICC行静脉化疗的结直肠癌患者,在常规管理的基础上采用同质化管理模式能够提高患者舒适度,降低PICC并发症发生率,改善患者预后,提高患者满意度。Objective To explore the effect of consistent and standardized management in indwelling peripherally inserted central catheter(PICC)for intravenous chemotherapy among patients with colorectal cancer.Method Ninety-six patients with colorectal cancer who were treated with intravenous chemotherapy via indwelling PICC following different clinical management were enrolled in the research as control group and study group,receiving routine management or consistent and standardized management in addition to routine care,respectively.The degree of comfort,incidence rate of complications and satisfaction rate during PICC line insertion were compared between the two groups of patients.Result During the line insertion period,95.83%of patients in study group felt comfortable,and it was higher compared to the 83.33%in control group(P<0.05);the overall incidence of complications in study group was 8.33%,which was significantly lower compared to control group at 25.00%(P<0.05);besides,a significantly higher satisfaction rate was observed in study group versus control group(P<0.01).Conclusion For colorectal cancer patients undergoing intravenous chemotherapy through indwelling PICC,the addition of consistent and standardized management on the basis of routine care can improve the degree of comfort for patients,reducing the incidence of complications,ameliorating prognosis,with higher satisfaction rate.

关 键 词：同质化管理模式 结直肠癌 外周静脉置入中心静脉导管 舒适度 并发症 满意度 

分 类 号：R735.3[医药卫生—肿瘤]