X线胸片结合体表测量方式在测量肿瘤患者PICC置管长度中的应用及护理  

The application and nursing of chest radiograph combined with body surface measurement in measuring the length of PICC tube in tumor patients

作　　者：李耀丽[1] 杨启慧[1] 孔繁贞[1] 赵久达[1] Li Yaoli;Yang Qihui;Kong Fanzhen;Zhao Jiuda(Department of Oncology,the Affiliated Hospital of Qinghai University,Xining 810001,China)

机构地区：[1]青海大学附属医院肿瘤内科,西宁810001

出　　处：《中国实用护理杂志》2021年第8期604-609,共6页Chinese Journal of Practical Nursing

基　　金：青海省医药卫生科技项目(2018-wjzdx-100)。

摘　　要：目的探究X线胸片结合体表测量方式测量肿瘤患者PICC置管长度中的应用及护理情况。方法选取2019年3月至2020年1月在青海大学附属医院肿瘤内科就诊的恶性肿瘤患者60例,按照随机数字表法将其分为对照组和观察组各30例。对照组予以常规体表测量方式进行PICC置管,观察组予以X线胸片结合体表测量方式进行PICC置管。比较2组患者PICC置管精确到位情况、留置时间以及并发症发生情况、护理满意率和生命质量情况。结果观察组置管精确到位率、置管调整比例和留置时间分别为100.00%(30/30)、0、(146.35±21.74)d,明显优于对照组的83.33%(25/30)、16.67%(5/30)和(118.44±17.36)d,差异有统计学意义(χ^(2)值为4.286、5.455,t值为5.495,均P<0.05);观察组并发症发生率、护理满意率和生命质量评分分别为3.33%(1/30)、99.67%(29/30)、(91.35±8.58)分,明显优于对照组的26.67%(8/30)、80.00%(24/30)、(83.57±7.36)分,差异有统计学意义(χ^(2)值为6.405、4.043,t值为3.775,P<0.05或0.01)。结论X线胸片结合体表测量方式联合综合护理能够显著提高肿瘤患者PICC置管精确到位率,减少置管调整情况和实际长度与理想长度的偏差,延长留置时间,降低并发症发生情况,提高患者护理满意率以及生命质量。Objective To explore the application and nursing of chest radiograph combined with body surface measurement in measuring the length of PICC intubation in tumor patients.Methods Totally 60 cases of malignant tumor patients in our hospital from March 2019 to January 2020 were selected and randomly divided into two groups by the method of random number table.30 cases in the control group were given PICC catheterization by conventional body surface measurement;30 cases in the observation group were given PICC catheterization combined with chest imaging data.After the intervention,the precise position of PICC catheter,indwelling time,complications,nursing satisfaction rate and quality of life were compared between the two groups.Results After the intervention,the accurate placement rate,adjustment ratio and indwelling time of the observation group were 100.00%(30/30),0,(146.35±21.74)d,which were significantly better than 83.33%(25/30),16.67%(5/30)and(118.44±17.36)d of the control group,the difference was statistically significant(tvalue was 5.495,χ^(2)values were 4.286,5.455,all P<0.05);after intervention the complication rate,nursing satisfaction rate,and quality of life score in the observation group were 3.33%(1/30),99.67%(29/30),(91.35±8.58)points,which were significantly better than the control group's 26.67%(8/30),80.00%(24/30),(83.57±7.36)points,the difference was statistically significant(χ^(2)values were 6.405,4.043,tvalue was 3.775,P<0.05 or 0.01).Conclusion Chest imaging data combined with body surface measurement methods combined with comprehensive care can significantly improve the accuracy of PICC catheter placement in cancer patients,reduce catheter adjustment and the deviation of actual length from the ideal length,extend the indwelling time,reduce complications,and improve patients Care satisfaction rate and quality of life.

关 键 词：X线胸片 肿瘤患者 PICC置管长度 留置时间 

分 类 号：R473.73[医药卫生—护理学]