导管维护风险管理预防肿瘤内科患者PICC机械性静脉炎的效果分析  

Effects of Catheter Maintenance Risk Management on Prevention of PICC Mechanical Phlebitis in Patients in Medical Oncology

作　　者：王雪[1] WANG Xue(Department of Medical Oncology,Nanyang Central Hospital,Nanyang 473000,Henan Province,China)

机构地区：[1]南阳市中心医院肿瘤内科,河南南阳473000

出　　处：《罕少疾病杂志》2020年第5期107-109,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨导管风险维护管理对预防肿瘤内科患者经外周静脉置入中心静脉导管(PICC)术后机械性静脉炎的效果。方法选取2017年1月至2018年12月在我院接受治疗并行PICC置管术的肿瘤患者共156例作为研究对象,按照随机数字表法分为两组,研究组(78例)和对照组(78例)。对照组患者给予PICC术后常规护理,研究组患者在对照组护理基础上进行预防性护理干预,即对PICC术后常见并发症(机械性静脉炎)进行护理干预。观察比较两组患者机械性静脉炎发生情况、发生时间、导管留置时间及患者满意度。结果干预3个月后,研究组患者机械性静脉炎发生率低于对照组(P<0.05);研究组机械性静脉炎发生时间较对照组晚,且研究组患者导管留置时间较对照组长(P均<0.05);研究组患者满意度较对照组更高(P均<0.05)。结论导管维护风险管理能有效预防肿瘤患者PICC术后机械性静脉炎的发生,利于延长导管留置时间、提高患者满意度。Objective To explore the effects of catheter maintenancerisk management on the prevention of mechanical phlebitis after peripherally inserted central catheter(PICC)in patients in medical oncology.Methods A total of 156 tumor patients who underwent treatment and PICC catheterization in our hospital from January 2017 to December 2018 were enrolled in the study.They were divided into two groups according to the random number table method,including study group(78 cases)and control group.Group(78 cases).Control group was given routine nursingafter PICC,and study group was given preventive nursing intervention on the basis of control group,that is,the nursing intervention for common complications(mechanical phlebitis)after PICC.The occurrence of mechanical phlebitis,time of occurrence,catheter indwelling time and patient satisfaction were observed and compared between the two groups.Results After 3 months of intervention,the incidence rate of mechanical phlebitis in study group was lower than that in control group(P<0.05).The occurrence time of mechanical phlebitis in study group was later than that in control group,and the catheter indwelling time in study group was higher than that in control group(P<0.05).The patientsatisfaction in study group were higher than that in control group(P<0.05).Conclusion Catheter maintenance risk management can effectively prevent the occurrence of mechanical phlebitis after PICC in patients with cancer,and it is beneficial to prolong catheter indwelling time and improve patient satisfaction.

关 键 词：导管风险管理 肿瘤 PICC 机械性静脉炎 

分 类 号：R47[医药卫生—护理学] R73[医药卫生—临床医学]