摘要
目的：为了研究肿瘤患者留置外周置入中心静脉导管化疗（peripherally inserted centralcatheter PICC）且带管回家休养的过程中出现的护理问题,针对这些问题进行分析,作出相应的对策,既为肿瘤患者多程化疗提供了方便,又确保患者留置PICC带管的安全。方法：在2007年3月至2008年6月期间,对25例肿瘤患者行PICC导管留置,男17例,女8例,年龄35-69岁,均为多程化疗的患者,留置全程时间18-302d。留置PICC后一般在医院化疗观察10d;消化道肿瘤患者5-8d;晚期肿瘤病人可达15-20d。然后均带管回家休养,回家休养期间采取每周电话随访,嘱病人若有问题及时与责任护士联系。结果：本组患者共有11例出现护理问题：其中置管不到位1例,静脉炎3例,导管异位出现心律失常1例,穿刺口出血3例,穿刺点感染1例,导管堵塞1例,导管不全脱出1例。责任护士对护理问题及时采取了相应的护理对策,确保患者在行PICC导管留置期间的用药安全。23例完成治疗计划拔管,1例因患者病故拔管,1例因细菌性静脉炎拔管。结论：结果表明,肿瘤患者行PICC置管且带管回家休养期间出现的各种护理问题,责任护士采取随访联系，能及时准确作出相应的护理对策，确保患者在化疗期间用药的安全，而且还能减少患者反复穿刺的痛苦和心理压力。
Objective： To explore nursing problems and countermeasures during tumour sufferer remainning peripherally inserted central catheter（ PICC） and taking PICC canal in situ at home, we will perform corresponding to nursing countermeasures for those nursing problems. These nursing countermeasures are performed in order to provide convenience and insuring safety of remainning and taking PICC canal in situ at home for tumour sufferer of many course chemistry therapy. Method： 25 tumour sufferer were performed by remainning PICC canal and male and 8 cases in female, keeping for 18 to 302 days. taking PICC canal in situ at home during Mar. 2007 to Jun. 2008. 17 cases in 35 to 69 years old, they are all many course chemistry therapy. The course was Generally, tumour sufferer of remainning PICC canal and taking PICC canal in situ back home are allowed after sufferers were observed 10 days in hospital for common patient, 5 to 10 days for alimentary tract tumour sufferer and 15 to 20 days for afternoon tumour sufferer. Duty nurse followed visiting by telephone weekly and let tumour sufferer in time to call on duty nurse in case of being probleml Resuit： There were nursing problems for 11 tumour sufferers during keeping for 18 to 302 days： Remainning PICC canal no put to apt position for 1 case, vein of remainning PICC canal infect phlebitis for 3, 1 case are lead to rhythm of the heart by PICC canal position changed, 3cases are hemorrhage at point puncture, point puncture infect bacteria for 1, Remainning PICC canal is jam by clot for 1, PICC canal is pulled out incompletely for 1 case. In 25 observing tumour sufferers, Remainning PICC canal of 23 case are removed by accomplished treatment, 1 case by death and 1case by phlebitis for bacteria. The duty nurse can in time treat with nursing problems during remainning PICC canal by relevant nursing countemeasure and be sure patient safety of chemistry therapy during remainning PICC canal. Conclusion： Our results indicate that these nursing problems are resolved by relevant nursing countemeasure of duty nurse during tumour sufferer remainning PICC and taking PICC canal in situ at home, and further to reduce suffering and mind press of tumour patient by many puncture.
出处
《河北医学》
CAS
2010年第1期98-101,共4页
Hebei Medicine
