乳腺癌静脉化疗患者经外周静脉穿刺中心静脉置管的循证护理

Evidence-based nursing for breast cancer patients with intravenous chemotherapy undergoing peripherally inserted central catheter

  • 摘要: 目的 观察循证护理干预对乳腺癌化疗患者经外周静脉穿刺中心静脉置管(PICC)的效果。 方法 选取本院收治的行PICC置管的乳腺癌患者50例,随机分为观察组和对照组,每组25例。对照组实施普通护理,观察组在普通护理方法的基础上实施循证护理干预,比较2组行PICC置管后的效果和并发症的发生情况。 结果 观察组行首次PICC置管穿刺的成功率为92.00%, 高于对照组的88.00%, 差异无统计学意义(P<0.05); 观察组PICC留置时间为(108.92±2.35)d, 优于对照组的(82.65±3.79)d, 差异无统计学意义(P<0.05); 2组均在术后30 d内并发症情况发生比较,差异无统计学意义(P>0.05), 观察组30~60 d内并发症发生率为8.00%, 低于对照组的32.00%, 差异无统计学意义(P<0.05)。 结论 对乳腺癌静脉化疗患者采用循证护理干预方法可降低PICC置管后的并发症发生率,延长PICC置管的留置时间。

     

    Abstract: Objective To observe the effect of evidence-based nursing intervention for breast cancer chemotherapy patients with peripherally inserted central catheter(PICC). Methods A total of 50 breast cancer patients with PICC insertion admitted in our hospital were selected, and they were randomly divided into observation group and control group, with 25 cases in each group. General nursing was carried out in the control group, and evidence-based nursing intervention was additionally given to the observation group on the basis of the control group. The effect of the two groups after PICC insertion and the occurrence of complications were compared. Results The success rate of the first insertion of PICC in the observation group was 92.00%, which was significantly higher than 88.00% of the control group(P<0.05). PICC retention time in the observation group was(108.92±2.35)d, which was significantly better than(82.65±3.79)d in the control group(P<0.05). There was no significant difference in incidence of complications within 30 d after operation between the two groups(P>0.05). The incidence of complications within 30 to 60 d in the observation group was 8.00%, which was significantly lower than 32.00% in the control group(P<0.05). Conclusion Evidence-based nursing intervention can reduce the incidence of complications after PICC catheterization and prolong its retention time.

     

/

返回文章
返回