静脉通路安全管理在血液系统恶性肿瘤患者围化疗期的效果评价  

Evaluation of the efficacy of venous access safety management in patients with hematological malignancies during the peri-chemotherapy period

作　　者：王石娟 朱茂冰 卢昌媛 黄思霖 石夕巧 李敏 张丽凤[1] 劳永聪[1] WANG Shijuan;ZHU Maobing;LU Changyuan;HUANG Silin;SHI Xiqiao;LI Min;ZHANG Lifeng;LAO Yongcong(Department of Lymphatic Hematology and Children’s Oncology,the Affiliated Tumor Hospital of Guangxi Medical University,Guangxi,Nanning 530021,China)

机构地区：[1]广西医科大学附属肿瘤医院淋巴血液及儿童肿瘤内科,广西南宁530021

出　　处：《中国医药科学》2024年第5期165-168,共4页China Medicine And Pharmacy

基　　金：广西壮族自治区中医药管理局科研课题(GXZYA20220260);广西壮族自治区卫生健康委员会科研课题(Z20200876;Z-A20220699;Z-A20230758)。

摘　　要：目的探讨静脉通路安全管理在血液恶性肿瘤患者围化疗期管理中的应用效果。方法选取广西医科大学附属肿瘤医院淋巴血液及儿童肿瘤内科252例血液系统恶性肿瘤围化疗期患者为研究对象,2021年5月至2022年7月126例为研究组(常规管理+静脉通路安全管理),2019年5月至2020年7月为对照组(常规管理)。比较两组患者的导管感染、药物渗出/外渗、静脉炎发生情况和患者满意度;比较两组护理人员在患者输液工具选择、导管固定、敷料维护的正确情况。结果研究组围化疗期导管感染、药物渗出/外渗、静脉炎总发生率明显低于对照组;研究组围化疗期患者的输液工具选择正确率、导管固定正确率、敷料维护正确率高于对照组;研究组护理满意度高于对照组,差异均具有统计学意义(P<0.05)。结论血液恶性肿瘤患者围化疗期进行静脉通路安全管理,可降低静脉血管通路并发症的发生,同时可提高患者对护理工作的满意度,有一定的临床应用价值。Objective To explore the application effect of venous access safety management in patients with hematological malignancies during the peri-chemotherapy period.Methods A total of 252 patients with hematological malignancies treated in the Department of Lymphatic Hematology and Children’s Oncology of the Affiliated Tumor Hospital of Guangxi Medical University during the peri-chemotherapy period as the research subjects.From May 2021 to July 2022,126 patients were selected as the study group(conventional management+venous access safety management),and from May 2019 to July 2020,126 patients were selected as the control group(conventional management).The incidence of catheter infection,drug exudation/extravasation,phlebitis,and patient satisfaction were compared between the two groups of patients.The accuracy of selection of infusion tools,catheter fixation,and dressing maintenance was compared between the two groups of nursing staff.Results The total incidence of catheter infection,drug exudation/extravasation,and phlebitis during the peri-chemotherapy period in the study group was lower than that in the control group.The accuracy rates of selection of infusion tools,catheter fixation,and dressing maintenance in the study group were significantly higher than those in the control group.The nursing satisfaction of the study group was higher than that of the control group,with statistically significant differences(P<0.05).Conclusion Venous access safety management in patients with hematological malignancies during the peri-chemotherapy period can reduce the occurrence of complications of venous vascular access and improve patient satisfaction with nursing work,which has certain clinical application value.

关 键 词：静脉通路 静脉治疗 血液系统恶性肿瘤 化疗 

分 类 号：R473.73[医药卫生—护理学]