肿瘤化疗患者PICC导管维护中应用集束化护理的意义探析1.docx

肿瘤化疗患者PICC导管维护中应用集束化护理的意义探析【摘要】目的研究肿瘤化疗患者经外周静脉置入中心静脉导管（PICC）导管维护中应用集束化护理的意义。方法68例肿瘤化疗患者，随机分常规组和技集束组，每组34例。常规组采用常规护理方法进行PICC导管维护，集束组采用集束化护理方法进行PICC导管维护。比较两组患者导管维护满意度；观察局部皮肤炎性反应、血栓、全身不良反应的发生情况；维护前后生存质量的差异。结果集束组患者导管维护满意度为97.06%，高于常规组的73.53%，差异具有统计学意义（P<0.05）；集束组不良反应发生率为5.88%，低于常规组的26.47%，差异具有统计学意义（P<0.05）；维护前两组患者生存质量比较差异无统计学有意义（P>0.05）；维护后集束组生存质量改善幅度明显优于常规组，差异具有统计学意义（P<0.05）。结论肿瘤化疗患者PICC导管维护中应用集束化护理的效果确切，可有效减少局部皮肤炎性反应、血栓、全身不良反应等PICC导管置管不良事件的发生，提高患者满意度和生存质量，值得推广应用。DOI：10.14163/j.cnki.11-5547/r.2017.12.076【Abstract】ObjectiveToresearchsignificancebybundlenursingappliedinperipherallyinsertedcentralcatheter（PICC）maintenanceforpatientsintumorchemotherapy.MethodsAtotalof68patientsintumorchemotherapywererandomlydividedintoconventionalgroupandbundlegroup，with34casesineachgroup.TheconventionalgroupreceivedconventionalmeasureforPICCmaintenance，andthebundlegroupreceivedbundlenursingforPICCmaintenance.Comparisonwasmadeonsatisfactiondegreeofcathetermaintenancebetweenthetwogroups，observationwasmadeonoccurrenceoflocalskininflammatoryreactions，thrombus，andgeneraladversereactions，anddifferenceinqualityoflifebeforeandaftermaintenance.ResultsThebundlegrouphadhighersatisfactiondegreeofcathetermaintenanceas97.06%than73.53%intheconventionalgroup，andthedifferencehadstatisticalsignificance（P<0.05）.Thebundlegrouphadincidenceofadversereactionsas5.88%，whichwaslowerthan26.47%intheconventionalgroup，andtheirdifferencehadstatisticalsignificance（P<0.05）.Therewasnostatisticallysignificantdifferenceofqualityoflifebeforemaintenancebetweenthetwogroups（P>0.05）.Aftermaintenance，thebundlegrouphadobviouslybetterimprovementinqualityoflifethantheconventionalgroup，andthedifferencehadstatisticalsignificance（P<0.05）.ConclusionImplementofbundlenursinginPICCmaintenanceforpatientsintumorchemotherapyshowspreciseeffect.ItcaneffectivelyreduceoccurrenceofPICC-inducedadversereactionsoflocalskininflammatoryreactions，thrombus，andgeneraladversereactions，andimprovesatisfactiondegreeandqualityoflifeinpatients.Thismethodisworth