摘要
目的:研究对接受经外周静脉置入中心静脉导管(PICC)化疗的恶性肿瘤患者进行全程优质护理的效果。方法:选择2017年3月至2018年3月期间在临沂市兰陵县人民医院接受PICC化疗的136例恶性肿瘤患者作为研究对象。将这些患者平均分为对照组(n=68)与观察组(n=68)。在对两组患者进行PICC化疗期间,对对照组患者与观察组患者分别进行常规护理与全程优质护理,然后比较两组患者一次性置管成功的比率、舒适度评分、导管留置的时间、置管相关并发症的发生率及其HPLP-Ⅱ评分。结果:接受护理后,观察组患者一次性置管成功的比率和舒适度评分均高于对照组患者,其导管留置的时间长于对照组患者,其置管相关并发症的发生率低于对照组患者,P<0.05。接受护理后,观察组患者HPLP-Ⅱ中的健康教育行为评分、人际关系评分、心理健康评分、躯体活动评分、营养评分、健康责任感评分和压力调节评分均高于对照组患者,P<0.05。结论:对接受PICC化疗的恶性肿瘤患者进行全程优质护理可显著延长其导管留置的时间,降低其置管相关并发症的发生率,并可促使其保持健康的生活方式。
objective:to study the effect of whole-course high-quality nursing care for malignant tumor patients who received peripheral venous implantation central venous catheter(PICC)chemotherapy.Methods:136 patients with malignant tumor who received PICC chemotherapy in lanling county people's hospital of linyi city from March 2017 to March 2018 were selected as research objects.These patients were divided into control group(n=68)and observation group(n=68)on average.During the PICC for two groups of patients with chemotherapy,the control group patients with routine nursing and observation group of patients,respectively the whole quality of nursing,then compared two groups of patients with one-time success ratio of tube,comfort ratings,catheter indwelling time and the incidence of catheter related complications and HPLP-Ⅱscore.Results:after receiving nursing care,the rate of successful one-time catheterization and comfort score of patients in the observation group were higher than those in the control group,the duration of catheter indwelling was longer than those in the control group,and the incidence of catheterization related complications was lower than those in the control group(P<0.05).Accept after nursing,the observation group health education of patients HPLP-Ⅱbehavior evaluation,interpersonal relationship,mental health evaluation,physical activity,nutrition evaluation,health responsibility and pressure regulating score were higher than the control group,P<0.05).Conclusion:the whole course of high-quality nursing care for malignant tumor patients receiving PICC chemotherapy can significantly prolong the time of catheter indentation,reduce the incidence of catheter-related complications,and promote them to maintain a healthy lifestyle.
作者
魏晓梅
宋恒芹
王鑫
Wei Xiaomei;Song Hengqin;Wang Xin(Tumor radiotherapy ward,lanling county people's hospital,linyi city,shandong province,linyi 277700;Linyi lanling county people's hospital,linyi 277700;Department of gastroenterology,east medical district,linyi people's hospital,linyi 277700)
关键词
PICC
化疗
恶性肿瘤
全程优质护理
PICC
Chemotherapy
Malignant tumors
Whole-course quality care
