摘要
目的探讨尤文氏肉瘤患者PICC置管出院后的家庭护理问题及对策,为更好地开展尤文氏肉瘤PICC置管出院患者的家庭护理提供依据。方法本文选取2011-1—2013-02间共11例尤文氏肉瘤PICC置管出院患者进行随访。根据随访结果从患者带管出院后可能出现的问题及原因、处理方法、预防措施及家庭护理要点等方面进行分析。结果尤文氏肉瘤患者PICC置管出院后家庭护理中出现机械性静脉炎2例,导管堵塞2例,导管移位4例。患者普遍存在出院后PICC置管的护理不当,导致PICC置管相关并发症的发生。结论为确保化疗的顺利实施,住院期间护士应严格无菌操作,定期换药,对肿瘤患者及家属进行细致全面的健康教育,使其能够掌握PICC生活护理的知识及常见问题的处理方法。出院时应有专科护士告知患者及家属家庭护理要点,出院后专业人员进行定期随访,可有效防止PICC置管并发症的发生。
Objective Ewing's sarcoma in patients with PICC discuss problems and countermeasures home care after discharge tube to provide a basis for better conduct PICC catheter Ewing's sarcoma patients discharged home care. Methods Select undergraduate room in January 2011- February 2013 were 11 cases of Ewing's sarcoma in patients with PICC catheter discharge follow- up. According to the results of the analysis may be followed up with a tube from the patient after discharge problems and causes,treatment,prevention measures and other aspects of home care points. Results Ewing's sarcoma in patients with PICC catheter was discharged home care after a mechanical phlebitis in two cases,two cases of catheter obstruction,catheter displacement four cases. After the patient was discharged PICC catheter widespread improper care,leading to the occurrence of PICC catheter- related complications. Conclusion To ensure the smooth implementation of the chemotherapy nurses during hospitalization should be strictly aseptic dressing regularly for cancer patients and their families for detailed comprehensive health education to enable them to acquire knowledge and treatment of common problems PICC life care. There should be discharged from hospital nurse specialist home care patients and their families informed of points,professionals regular follow- up after discharge,which can effectively prevent the occurrence of PICC catheter complications.
出处
《河南外科学杂志》
2014年第4期24-25,共2页
Henan Journal of Surgery
