加强护理对PICC置管患者血栓发生的影响
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摘要
目的分析肿瘤患者经外周静脉置入中心静脉导管(PICC)相关性血栓发生因素及护理对策。方法 78例肿瘤患者,采用奇偶法分为对照组和观察组,每组39例。对照组给予一般护理,观察组在对照组的基础上给予加强护理。比较两组患者的护理满意度和血栓发生情况。结果观察组患者的血栓发生率为15.38%,对照组患者的血栓发生率为38.46%,观察组血栓发生率低于对照组,差异有统计学意义(P<0.05)。观察组患者的护理满意度为97.44%,对照组患者的护理满意度为71.79%,观察组护理满意度优于对照组,差异有统计学意义(P<0.05)。结论肿瘤患者PICC导管发生的血栓相关性因素很多,只有在临床上加强护理,避免因素的影响,才能降低不良反应,促使护理满意度的提升。
Objective To analyze the risk factors of peripherally inserted central catheters(PICC) related thrombosis in tumor patients and nursing strategies. Methods A total of 78 tumor patients were divided by parity method into control group and observation group, with 39 cases in each group. The control group received general nursing, and the observation group received intensive nursing on the basis of the control group. The nursing satisfaction and occurrence of thrombosis in two groups was compared. Results The observation group had incidence of thrombosis as 15.38%, while the control group had incidence of thrombosis as 38.46%. The observation group had lower incidence of thrombosis than the control group, and the difference was statistically significant(P<0.05). The observation group had nursing satisfaction degree as 97.43%, while the control group had nursing satisfaction degree as 71.79%. The observation group had better nursing satisfaction degree than the control group, and the difference was statistically significant(P<0.05). Conclusion There are many factors related to thrombosis in tumor patients with PICC. Only by strengthening the nursing and avoiding the influence of factors can reduce the adverse reactions and improve nursing satisfaction.
Objective To analyze the risk factors of peripherally inserted central catheters(PICC) related thrombosis in tumor patients and nursing strategies. Methods A total of 78 tumor patients were divided by parity method into control group and observation group, with 39 cases in each group. The control group received general nursing, and the observation group received intensive nursing on the basis of the control group. The nursing satisfaction and occurrence of thrombosis in two groups was compared. Results The observation group had incidence of thrombosis as 15.38%, while the control group had incidence of thrombosis as 38.46%. The observation group had lower incidence of thrombosis than the control group, and the difference was statistically significant(P<0.05). The observation group had nursing satisfaction degree as 97.43%, while the control group had nursing satisfaction degree as 71.79%. The observation group had better nursing satisfaction degree than the control group, and the difference was statistically significant(P<0.05). Conclusion There are many factors related to thrombosis in tumor patients with PICC. Only by strengthening the nursing and avoiding the influence of factors can reduce the adverse reactions and improve nursing satisfaction.
引文
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[7]李华春,江庆华,王小雪,等.肿瘤患者PICC置管后并发血栓性静脉炎继续保留导管的护理对策.肿瘤预防与治疗, 2017,30(3):238-241.
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[9]陈莹.肿瘤科行PICC置管后并发静脉血栓的原因分析及护理对策.现代养生, 2017(8):64.
[10]孙榕,龚桂芝.PICC置管术后并发导管阻塞和深静脉血栓形成的护理对策探讨.中国妇幼健康研究, 2017, 28(S1):557-558.
[11]裴晓娟,沈年华.肿瘤患者PICC导管相关性血栓发生因素分析及护理对策.世界临床医学, 2017, 11(17):71-72.
[12]张瑜,高阳,董雪,等.肿瘤患者PICC相关深静脉血栓形成的原因分析及护理.国际护理学杂志, 2016, 35(18):2475-2477.
[13]关晨阳,廖海涛,高文,等.肿瘤患者PICC导管相关性血栓与凝血指标变化关系的研究.中国实用护理杂志, 2018, 34(11):848-852.
[14]莫春玲,屈盈莹,罗淑娟,等.肿瘤患者同时发生PICC导管相关性血栓和血流感染的病例分析.岭南现代临床外科, 2017,17(2):221-223, 246.
[15]朱思华.恶性肿瘤化疗患者PICC置管术后静脉血栓形成的原因及预防对策分析.健康之路, 2018(3):56.
[2]陈伟萍,施瑛,王丹红.集束化护理管理对PICC置管患者静脉血栓发生的干预效果.护士进修杂志, 2015(20):1905-1907.
[3]曾志梅,戴倩.预防PICC置管后发生血栓的护理.世界最新医学信息文摘(电子版), 2016(65):376.
[4]徐菁.护理干预提高肿瘤患者PICC置管术的依从性.健康周刊,2016(8):33-34.
[5]张丽,陆箴琦,陆海燕,等.肿瘤患者PICC导管相关性血栓形成的相关因素分析.护理学杂志, 2017, 32(14):51-55.
[6]罗蕾,王国蓉,秦英,等.肿瘤患者PICC相关上肢静脉血栓发生率和发生时间的前瞻性研究.中国实用护理杂志, 2016,32(8):576-580.
[7]李华春,江庆华,王小雪,等.肿瘤患者PICC置管后并发血栓性静脉炎继续保留导管的护理对策.肿瘤预防与治疗, 2017,30(3):238-241.
[8]李玲,朱湘萍.集束化护理管理对PICC置管患者静脉血栓发生的临床效果观察.首都食品与医药, 2017(22):92.
[9]陈莹.肿瘤科行PICC置管后并发静脉血栓的原因分析及护理对策.现代养生, 2017(8):64.
[10]孙榕,龚桂芝.PICC置管术后并发导管阻塞和深静脉血栓形成的护理对策探讨.中国妇幼健康研究, 2017, 28(S1):557-558.
[11]裴晓娟,沈年华.肿瘤患者PICC导管相关性血栓发生因素分析及护理对策.世界临床医学, 2017, 11(17):71-72.
[12]张瑜,高阳,董雪,等.肿瘤患者PICC相关深静脉血栓形成的原因分析及护理.国际护理学杂志, 2016, 35(18):2475-2477.
[13]关晨阳,廖海涛,高文,等.肿瘤患者PICC导管相关性血栓与凝血指标变化关系的研究.中国实用护理杂志, 2018, 34(11):848-852.
[14]莫春玲,屈盈莹,罗淑娟,等.肿瘤患者同时发生PICC导管相关性血栓和血流感染的病例分析.岭南现代临床外科, 2017,17(2):221-223, 246.
[15]朱思华.恶性肿瘤化疗患者PICC置管术后静脉血栓形成的原因及预防对策分析.健康之路, 2018(3):56.