Objective To explore the risk factors of catheter-related infection (CRI) after peripherally inserted central catheterization (PICC) in patients with chemotherapy for peripheral lung cancer.
Methods A total of 450 adult patients with peripheral lung cancer in Hengshui City People's Hospital of Hebei Province from April 2017 to December 2020 were selected as research objects. Among them, 32 patients with CRI after PICC (27 cases of local infection and 5 cases of blood flow infection) were selected as CRI group, and 96 age-matched uninfected patients were selected as control group. The self-made PICC catheter maintenance record book was used to record the relevant diagnosis and treatment information of patients, including gender, body mass, age, indwelling time of PICC catheter and number of catheter puncture. Univariate analysis and multivariate Logistic regression analysis were used to explore the relevant risk factors of CRI.
Results There were significant differences in stages of lung cancer, nutritional status, indwelling time of PICC catheter, number of repeated PICC catheter puncture, range of motion of limbs on puncture side, frequency of chemotherapy administration and condition of complicating diabetes between the CRI group and the control group (P < 0.01). Multivariate Logistic regression analysis showed that the risk factors of CRI were frequency of chemotherapy administration (OR=6.386), PICC catheter displacement (OR=2.512) and complicating basic diseases such as diabetes (OR=3.362).
Conclusion There are many risk factors for CRI after PICC in patients with chemotherapy for peripheral lung cancer, such as the number of repeated catheter puncture, indwelling time of catheter, catheter displacement, and frequency of chemotherapy administration and complicating basic diseases such as diabetes. Targeted nursing intervention should be used in clinical nursing to reduce the incidence of CRI and prolong the survival of tumor patients.
DownLoad: