肿瘤合并糖尿病患者PICC置管期间全方位护理干预效果  

Curative effect of comprehensive nursing intervention on tumor patients with diabetes during PICC catheterization

作　　者：谢雨盟 苏佳娜 张瑜 XIE Yumeng;SU Jiana;ZHANG Yu(Wuxi People's Hospital,Wuxi,214000,China)

机构地区：[1]江苏省无锡市人民医院肿瘤科,214000

出　　处：《护理实践与研究》2023年第22期3351-3356,共6页Nursing Practice and Research

基　　金：无锡市卫生健康委科研项目(编号:M202108)。

摘　　要：目的探讨肿瘤合并糖尿病患者PICC导管置管期间开展全方位护理的效果。方法选取2021年1月—2022年1月医院收治的80例肿瘤合并糖尿病患者作为研究对象,所有患者均行PICC置管,按照组间基线资料均衡可比的原则分为对照组和观察组,每组40例。对照组实施常规PICC护理,观察组实施全方位护理,比较两组患者的血糖水平、并发症发生情况、生活质量评分。结果出院前1 d,观察组患者空腹血糖(FPG)为4.11±0.13mmol/L、餐后2 h血糖(2hPG)为6.22±0.23 mmol/L、糖化血红蛋白(HbA1c)为5.03±0.12(%),对照组分别为5.44±0.57 mmol/L、7.73±0.49 mmol/L、6.51±0.38(%),观察组患者各项指标均优于对照组,组间比较差异均有统计学意义(P<0.05);干预期间,观察组患者的并发症发生率(7.50%)低于对照组(25.00%),差异有统计学意义(P<0.05);随访3个月时,观察组患者生活质量量表(SF-36)各维度评分高于对照组,差异有统计学意义(P<0.05)。结论肿瘤合并糖尿病PICC置管期间开展全方位护理,可有效控制患者血糖,减少静脉炎等并发症发生风险,有利于提高生活质量。Objective To explore the effect of all-round nursing care during PICC catheterization in patients with tumor and diabetes was as the study subject.Methods A total of 80 patients with tumor and diabetes admitted to the hospital from January 2021 to January 2022 were selected as the study subjects.All patients were treated with PICC catheterization.According to the principle of balanced and comparable baseline data between groups,they were divided into the control group and the observation group,with 40 cases in each group.The control group received routine PICC care,while the observation group received comprehensive care.The blood sugar levels,complications,and quality of life scores of the two groups of patients were compared.Results One day before discharge,the fasting plasma glucose(FPG)of the observation group patients was 4.11±0.13 mmol/L,the 2 hours postprandial blood glucose(2hPG)was 6.22±0.23 mmol/L,and the glycated hemoglobin(HbA1c)was 5.03±0.12(%).The control group patients were 5.44±0.57 mmol/L,7.73±0.49 mmol/L,and 6.51±0.38(%),respectively.All indicators of the observation group patients were better than those of the control group,and the differences between the groups were statistically significant(P<0.05).During the intervention period,the incidence of complications in the observation group(7.50%)was lower than that in the control group(25.00%),the difference was statistically significant(P<0.05).At a follow-up of 3 months,the each dimension scores of quality of life scale(SF-36)in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion Comprehensive nursing during PICC catheterization for tumor patients with diabetes can effectively control blood sugar,reduce the risk of complications such as phlebitis,and improve the quality of life.

关 键 词：肿瘤 糖尿病 经外周静脉置入中心静脉导管 全方位护理 静脉炎 生活质量并发症 

分 类 号：R473.73[医药卫生—护理学]