| Citation: |
LIN Jianqin, JIANG Tianhua, YU Xiaoping, ZHU Pingting. Influencing factors of maintenance compliance of peripherally inserted central catheter and effect of precise nursing[J]. Journal of Clinical Medicine in Practice, 2023, 27(16): 142-148. DOI: 10.7619/jcmp.20231459
|
To explore influencing factors of catheter maintenance compliance in breast cancer patients with peripherally inserted central catheter (PICC) and the effect of precise nursing.
A total of 301 breast cancer patients with PICC were selected as study objects, univariate and multivariate analyses were used to analyze the influencing factors of catheter maintenance compliance in breast cancer patients with PICC, and receiver operating characteristic (ROC) curves were drawn to evaluate the predictive efficacy of combined diagnosis models of multivariate. Two-color ball method was used to randomly divide the subjects into control group (n=150, implementing routine nursing) and study group (n=151, implementing precision nursing based on routine nursing). Catheter maintenance compliance, self-management ability, nursing satisfaction and occurrence of complications were compared before and after the two groups.
Logistic regression analysis showed that age≥ 50 years old (OR=4.148, P=0.021), education level of primary school or below (OR=6.632, P=0.003), senior high school or technical secondary school (OR=5.900, P=0.004), monthly income < 2 000 yuan RMB (OR=6.991, P=0.004), monthly income of 2 000 to 5 000 yuan RMB (OR=4.679, P=0.034), and basic nursing (OR=2.910, P=0.002) were risk factors for low level of catheter maintenance compliance of breast cancer PICC carriers (P < 0.05). The area under the ROC curve (AUC) was 0.870 (95%CI, 0.829 to 0.910), the optimal critical value was 0.269, the sensitivity was 83.7%, the specificity was 74.0%, and the Youden index was 0.577. After intervention, the catheter maintenance compliance of the study group was higher than that of the control group (P < 0.05). After intervention, the score of items of PICC Self-management Scale (CPPSM) and total score in two groups were higher than before intervention, and the study group was higher than the control group (P < 0.05). The nursing satisfaction of the study group was 95.36%, which was higher than 83.33% of the control group (P < 0.05). The incidence rates of phlebitis, catheter blockage, puncture point infection, puncture point bleeding and unplanned extubation in the study group were lower than those in the control group (P < 0.05).
Precision nursing can improve catheter maintenance compliance, self-management ability, nursing satisfaction, and reduce the occurrence of complications in breast cancer PICC carriers.
| [1] |
HOUGHTON S C, HANKINSON S E. Cancer progress and priorities: breast cancer[J]. Cancer Epidemiol Biomarkers Prev, 2021, 30(5): 822-844. doi: 10.1158/1055-9965.EPI-20-1193
|
| [2] |
IWAMOTO T, KAJIWARA Y, ZHU Y D, et al. Biomarkers of neoadjuvant/adjuvant chemotherapy for breast cancer[J]. Chin Clin Oncol, 2020, 9(3): 27. doi: 10.21037/cco.2020.01.06
|
| [3] |
MIELKE D, WITTIG A, TEICHGRÄBER U. Peripherally inserted central venous catheter (PICC) in outpatient and inpatient oncological treatment[J]. Support Care Cancer, 2020, 28(10): 4753-4760. doi: 10.1007/s00520-019-05276-0
|
| [4] |
冯丽娟, 余琪, 童瑾, 等. 新型冠状病毒肺炎疫情期间门诊PICC带管患者的防护管理[J]. 护理学杂志, 2020, 35(7): 47-49. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202007016.htm
|
| [5] |
常承婷, 刘雨薇, 田亚丽, 等. 精准护理的研究进展[J]. 中国科学: 生命科学, 2022, 52(11): 1731-1737. https://www.cnki.com.cn/Article/CJFDTOTAL-JCXK202211015.htm
|
| [6] |
刘春丽, 颜美琼, 陆箴琦. 肿瘤患者PICC自我管理能力量表的构建及测评[J]. 护理学杂志, 2012, 27(23): 1-4. doi: 10.3870/hlxzz.2012.23.001
|
| [7] |
刘春丽, 颜美琼, 陆箴琦, 等. 肿瘤患者PICC自我管理能力及影响因素调查[J]. 中华护理教育, 2011, 8(7): 294-297. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHU201107004.htm
|
| [8] |
岳琨. 精准医疗框架下的护理模式对乳腺癌化疗患者症状及生命质量的影响[D]. 唐山: 华北理工大学, 2022.
|
| [9] |
乔孟琳, 李冬云, 惠娜, 等. 自我管理教育对乳腺癌经外周静脉穿刺中心静脉置管化疗患者自我管理能力、化疗依从性及并发症的影响[J]. 癌症进展, 2020, 18(24): 2582-2585. https://www.cnki.com.cn/Article/CJFDTOTAL-AZJZ202024026.htm
|
| [10] |
吴歆, 梁博. 基于超声和癌症指标构建乳腺癌术后生存列线图[J]. 实用临床医药杂志, 2021, 25(23): 62-68. doi: 10.7619/jcmp.20213928
|
| [11] |
徐远. 健康教育对老年宫颈癌PICC置管化疗间歇期导管维护依从性和自我管理能力的影响[J]. 实用临床医学, 2022, 23(1): 103-105. https://www.cnki.com.cn/Article/CJFDTOTAL-LCSY202201029.htm
|
| [12] |
张跃红, 李一凡. 乳腺癌PICC置管患者导管维护依从性及导管相关并发症发生的影响因素[J]. 临床护理杂志, 2020, 19(1): 2-6. https://www.cnki.com.cn/Article/CJFDTOTAL-LCHL202001001.htm
|
| [13] |
陈玉, 卓慧, 郑永红. 影响PICC置管患者门诊导管维护依从性的风险因素及风险评分系统的初步建立[J]. 中国卫生产业, 2019, 16(18): 46-49. https://www.cnki.com.cn/Article/CJFDTOTAL-WSCY201918020.htm
|
| [14] |
黄钰清, 陈国连, 麻玲霞, 等. 微信平台对PICC置管肿瘤病人化疗间歇期导管管理能力及并发症的影响[J]. 护理研究, 2020, 34(7): 1250-1252. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202007031.htm
|
| [15] |
张岸辉, 谌永毅, 刘翔宇. 持续质量改进在留置PICC导管乳腺癌出院患者导管维护中的应用效果[J]. 中华现代护理杂志, 2015(35): 4296-4298.
|
| [16] |
吴红娟, 陈雪峰, 张美英, 等. 肿瘤患者PICC置管主要并发症及其相关因素分析[J]. 中华护理杂志, 2008, 43(2): 134-135. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL200802017.htm
|
| 1. |
喻玲玲. 改良赛丁格尔PICC置管术在乳腺癌化疗患者中的应用. 实用中西医结合临床. 2025(01): 63-66 .
|
© 2020 《实用临床医药杂志》编辑部
Address: 江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室China Pos: 225009Tel: 0514-87978917、87978989、87978807
Supported by:
Beijing Renhe Information Technology Co., Ltd.
苏公网安备 32100302010246号
DownLoad: