傅飞燕

[摘要]目的 探讨在肿瘤护理中应用经外周静脉穿刺中心静脉（PICC）置管的效果。方法 选择我科2015年1月～2017年11月收治的68例肿瘤患者进行研究，按患者用药护理方法分为常规组（n=34）和PICC组（n=34），所有患者均实施化疗，对常规组患者实施静脉留置针用药及护理，对PICC组患者实施PICC给药及护理，分析总结两种用药护理方式的差异性。结果 PICC组患者并发症发生率为2.9%，较常规组（20.6%）明显降低（P=0.024）。PICC组患者护理满意度为97.1%，较常规组（76.5%）明显升高（P=0.012）。PICC组患者导管留置时间为（71.2±8.4）d，较常规组[（6.8±0.7）d]明显升高（P=0.000）。PICC组患者护理后治疗舒适度评分为（27.5±1.8）分，较常规组[（21.1±1.6）分]明显升高（P=0.000），PICC组患者护理后疾病不确定感评分为（65.1±7.8）分，较常规组[（76.5±6.8）分]明显降低，差异均有统计学意义（P=0.000）。结论 在肿瘤护理中应用PICC置管的效果优良。

[关键词]肿瘤护理；经外周静脉穿刺中心静脉置管；效果；并发症；满意度

[中图分类号] R473.73 [文献标识码] A [文章编号] 1674-4721（2018）4（a）-0191-03

Evaluation of clinical application of PICC in cancer nursing

FU Fei-yan

Jiangxi Maternal and Child Health Hospital，Jiangxi Province，Nanchang 330000，China

[Abstract]Objective To explore the effect of using PICC catheter in tumor care.Methods A total of 68 cancer patients from January 2015 to November 2017 in our department were enrolled.Patients were divided into routine group（n=34） and PICC group（n=34）according to patient medication care in all patients.The patients in the rantine group were used routine medicatiow and nursing，the patients in the PICC group were given PICC medication and nursing care.The differences between the two medication care methods were analyzed.Results The incidence of complications in PICC group was significantly lower than that in the conventional group（2.9% vs. 20.6%，P=0.024）.The satisfaction rate of patients in PICC group was significantly higher than that in the control group（97.5% vs.76.5%，P=0.012）.The catheterization time in PICC group （[71.2±8.4] d） was significantly higher than that in routine group （[6.8±0.7] d） （P=0.000）.After treatment，PICC patients′comfort score （[27.5±1.8] points） was significantly higher than that of the control group （[21.1±1.6] points） （P=0.000）.The score of illness uncertainty in patients with PICC （[65.1±7.8] points） was significantly lower than that of the control group（[76.5±6.8] points），the differences were statistically significant （P<0.05）.Conclusion The use of PICC catheterization in cancer care is excellent.

[Key words]Cancer care；PICC catheterization；Effect；Complication；Satisfaction

化疗是临床治疗肿瘤疾病的常用方式，肿瘤患者化疗周期多较长，患者需长时间静脉给药，给药过程中反复穿刺不仅增加患者治疗痛苦及身心压力，還会引起患者皮肤及血管损伤，导致多种并发症出现，影响患者生活质量[1]。经外周静脉穿刺中心静脉置管（peripherally inserted central catheter，PICC）是当前临床化疗患者的重要给药方式，目前PICC置管在化疗患者中的应用越来越多，本研究在肿瘤化疗患者中应用PICC置管取得了较为满意的效果。为进一步明确PICC的应用效果，对肿瘤患者化疗中实施了PICC方式给药及护理，并与常规静脉留置针方式用药及护理的效果实施了对比，现报道如下。……