肿瘤患者PICC体外导管不同留置长度效果比较  

Comparison of effectiveness of different external length of PICC in cancer patients

作　　者：冯丽娟[1] 孙杉杉[1] 余琪[1] 童瑾[1] 赵洁[1] 沈蕾[1] 陈友铃[1] 汪晖 Feng Lijuan;Sun Shanshan;Yu Qi;Tong Jin;Zhao Jie;Shen Lei;Chen Youling;Wang Hui(PICC Department,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院PICC科,湖北武汉430030 [2]华中科技大学同济医学院附属同济医院护理部,湖北武汉430030

出　　处：《护理学杂志》2023年第4期45-46,52,共3页Journal of Nursing Science

基　　金：湖北省科技计划项目(2019CFB692)。

摘　　要：目的评价肿瘤患者PICC体外导管不同留置长度的应用效果。方法将340例肿瘤患者随机分为对照组(168例)和观察组(172例)。对照组PICC置管体外导管长度为7 cm,观察组体外导管长度为5 cm,比较两组留置导管期间导管相关不良事件发生率。结果观察组敷料未全覆盖、敷料7 d内卷边、导管滑脱和非计划维护的发生率显著低于对照组(均P<0.05)。结论肿瘤患者PICC体外导管长度5 cm时,导管固定较好,可减少导管相关不良事件的发生。Objective To evaluate the effectiveness of different external length of PICC in cancer patients. Methods Totally, 340 cancer patients were randomly assigned to control(n=168) and experimental(n=172) groups. The external length of PICC was 7 cm in the control group and 5 cm in the experimental group. The incidence of catheter-related adverse events were compared between the two groups. Results The incidence of dressings that don′t completely cover the insertion site, dressing lifting, catheter dislodgement, and unplanned dressing change were significantly lower in the experimental group compared with the control group(all P<0.05). Conclusion The external length of PICC of 5 cm is better for PICC securement and reduces the occurrence of catheter-related adverse events.

关 键 词：PICC 后端修剪型导管 体外导管长度 不良事件 敷料覆盖 敷料卷边 导管滑脱 非计划维护 

分 类 号：R472[医药卫生—护理学]