肺癌化疗患者PICC置管中护理的应用

[摘要]目的:探讨肺癌化疗患者PICC置管中护理的应用。方法:选取本院2013年9月-2014年11月收治的96例肺癌化疗患者作为研究对象,按照随机数字表法将其分为观察组和对照组,每组各48例。对照组给予常规护理,观察组在此基础上再予以PICC论文网置管护理,观察比较两组患者PICC置管留置时间及成功率。并发症发生情况。患者生活质量评分及护理满意度。结果:观察组PICC置管平均留置时间显著长于对照组,留置成功率显著高于对照组,差异均有统计学意义(P<0。05)。观察组护理后的心理领域。社会关系领域及生活质量总得分评分均显著高于对照组,差异均有统计学意义(P<0。05)。观察组并发症总发生率6。25百分号显著低于对照组的20。83百分号,且护理满意度95。83百分号显著高于对照组的66。67百分号,差异均有统计学意义(P<0。05)。结论:应用PICC置管护理方法可有效提高肺癌化疗患者PICC置管成功率,减少置管并发症,对改善患者生活质量有重要意义。

ApplicationofNursingonLungCancerChemotherapyPatientswithPICCCatheter/LIUJun,CHENXiao-ling。//MedicalInnovationofChina,2015,12(23):083-085

[Abstract]Objective:ToinvestigatetheapplicationofnursingonlungcancerchemotherapypatientswithPICCcatheter。Method:96lungcancerpatientswithchemotherapyadmittedtoourhospitalfromSeptember2013toNovember2014wereselectedasresearchobjects,theywererandomlydividedintotheobservationgroupandthecontrolgroup,48casesineachgroup。Thecontrolgroupwasgivenroutinenursingcare,theobservationgroupwasgivenPICCcatheternursingonthebasisofcontrolgroup。ThePICCcatheterindwellingtimeandsuccessrate,theincidenceofcomplications,patients’qualityoflifescoreandnursingsatisfactionbetweenthetwogroupswereobservedandcompared。Result:TheaveragePICCcatheterindwellingtimeoftheobservationgroupwassignificantlylongerthanthecontrolgroup,thesuccessrateofindwellingintheobservationgroupwassignificantlyhigherthanthecontrolgroup,thedifferenceswerestatisticallysignificant(P<0。05)。Thescoresofpsychological,socialrelationsandthetotalscoreofqualityoflifeintheobservationgroupafternursingweresignificantlyhigherthanthoseinthecontrolgroup,thedifferenceswerestatisticallysignificant(P<0。05)。Thetotalincidenceofcomplicationsintheobservationgroup(6。25百分号)wassignificantlylowerthan20。83百分号inthecontrolgroup,thenursingsatisfactionoftheobservationgroup(95。83百分号)wassignificantlyhigherthan66。67百分号ofthecontrolgroup,thedifferenceswerestatisticallysignificant(P<0。05)。Conclusion:TheapplicationofPICCcatheternursingmethodcaneffectivelyimprovethesuccessrateofPICCcatheterlungcancerchemotherapypatients,reducethecomplicationsofcatheter,hasimportantsignificancetoimprovethepatientsqualityoflife。

[Keywords]Lungcancerchemotherapy;PICCcatheter;Nursing

First-author’saddress:ShenzhenPeople’sHospital,Shenzhen518101,China综上所述,应用PICC置管护理方法可有效减轻反复静脉穿刺给肺癌化疗患者带来的痛苦,提高输液治疗的安全性,对改善肺癌患者生活质量及医护患关系起到了积极的促进作用,值得临床大力推广应用。

肺癌化疗患者PICC置管中护理的应用