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经外周静脉穿刺中心静脉置管在肿瘤护理中的临床应用评价 预览 被引量:4

Evaluation of clinical application of PICC in cancer nursing
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摘要 目的探讨在肿瘤护理中应用经外周静脉穿刺中心静脉(PICC)置管的效果。方法选择我科2015年1月~2017年11月收治的68例肿瘤患者进行研究,按患者用药护理方法分为常规组(n=34)和PICC组(n=34),所有患者均实施化疗,对常规组患者实施静脉留置针用药及护理,对PICC组患者实施PICC给药及护理,分析总结两种用药护理方式的差异性。结果PICC组患者并发症发生率为2.9%,较常规组(20.6%)明显降低(P=0.024)。PICC组患者护理满意度为97.1%,较常规组(76.5%)明显升高(P=0.012)。PICC组患者导管留置时间为(71.2±8.4)d,较常规组[(6.8±0.7)d]明显升高(P=0.000)。PICC组患者护理后治疗舒适度评分为(27.5±1.8)分,较常规组[(21.1±1.6)分]明显升高(P=0.000),PICC组患者护理后疾病不确定感评分为(65.1±7.8)分,较常规组[(76.5±6.8)分]明显降低,差异均有统计学意义(P=0.000)。结论在肿瘤护理中应用PICC置管的效果优良。 Objective To explore the effect of using PICC catheter in tumor care.Methods A total of 68 cancer patients from January 2015 to November 2017 in our department were enrolled.Patients were divided into routine group(n=34)and PICC group(n=34)according to patient medication care in all patients.The patients in the rantine group were used routine medicatiow and nursing,the patients in the PICC group were given PICC medication and nursing care.The differences between the two medication care methods were analyzed.Results The incidence of complications in PICC group was significantly lower than that in the conventional group(2.9%vs.20.6%,P=0.024).The satisfaction rate of patients in PICC group was significantly higher than that in the control group(97.5%vs.76.5%,P=0.012).The catheterization time in PICC group([71.2±8.4]d)was significantly higher than that in routine group([6.8±0.7]d)(P=0.000).After treatment,PICC patients′comfort score([27.5±1.8]points)was significantly higher than that of the control group([21.1±1.6]points)(P=0.000).The score of illness uncertainty in patients with PICC([65.1±7.8]points)was significantly lower than that of the control group([76.5±6.8]points),the differences were statistically significant(P<0.05).Conclusion The use of PICC catheterization in cancer care is excellent.
作者 傅飞燕
出处 《中国当代医药》 2018年第10期191-193,共3页 China Modern Medicine
关键词 肿瘤护理 经外周静脉穿刺中心静脉置管 效果 并发症 满意度 Cancer care PICC catheterization Effect Complication Satisfaction
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