河北医药2024，Vol.46Issue(6) ：946-949.DOI:10.3969/j.issn.1002-7386.2024.06.033

预见性干预联合风险管理对静脉输液港化疗肺癌患者感染及堵塞的影响

Influence of predictive intervention combined with risk management on the infection and blockage of lung cancer patients undergoing intravenous chemotherapy using a chemo port

柴苏婉 陈丹 朱金星 陈雪松
河北医药2024，Vol.46Issue(6) ：946-949.DOI:10.3969/j.issn.1002-7386.2024.06.033
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  • 万方数据

预见性干预联合风险管理对静脉输液港化疗肺癌患者感染及堵塞的影响

Influence of predictive intervention combined with risk management on the infection and blockage of lung cancer patients undergoing intravenous chemotherapy using a chemo port

柴苏婉 1陈丹 1朱金星 1陈雪松1
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作者信息

  • 1. 210000 南京市,南京医科大学第一附属医院 江苏省人民医院呼吸与危重症医学科
  • 折叠

摘要

目的 研究预见性干预联合风险管理对静脉输液港化疗肺癌患者感染及堵塞的影响.方法 选取2020 年 12 月至 2021 年 12 月接受静脉输液港化疗的 90 例肺癌患者作为研究对象,采用随机数字表法将其分为常规组和研究组,每组 45 例.常规组采用常规护理管理,而研究组在常规组基础上采用预见性干预联合风险管理,对比 2组干预前后的静脉输液港相关知识掌握程度、导管相关血流感染发生率、导管堵塞发生率以及护理满意度.结果 干预后,研究组的置管目的、留管护理技巧、导管安全管理、日常注意事项评分均高于常规组(P<0.05);同时,研究组的导管相关血流感染发生率(4.44%)、导管堵塞发生率(2.22%)均低于常规组(17.78%)、(15.56%)(P<0.05);且研究组的护理满意度(95.56%)高于常规组(80.00%)(P<0.05).结论 在静脉输液港化疗肺癌患者中采用预见性干预联合风险管理,能有效提高患者对静脉输液港相关知识掌握程度,降低感染、堵塞发生率,提高患者护理满意度.

Abstract

Objective To study the influence of predictive intervention combined with risk management on the infection and blockage of lung cancer patients undergoing intravenous chemotherapy using a chemo port.Methods A total of 90 patients with lung cancer who received intravenous chemotherapy using a chemo port in our hospital from December 2020 to December 2021 were selected.They were randomly divided into conventional group and study group,with 45 cases in each group.Conventional nursing management was applied to all patients,and those in the study group were additionally managed by the predictive intervention.Knowledge mastery of the chemo port,incidence of catheter-related bloodstream infection,incidence of catheter blockage and nursing satisfaction were compared between the two groups before and after intervention.Results After intervention,the scores of catheterization purpose,catheterization nursing skills,catheter safety management and daily precautions in the study group were significantly higher than those of the conventional group(P<0.05).Meanwhile,theincidenceofcatheter-relatedbloodstreaminfection(4.44%vs17.78%)andcatheterblockage(2.22%vs15.56%)in the study group was significantly lower than that of the conventional group(both P<0.05).The nursing satisfaction in the study group was significantly higher than that of the conventional group(95.56%vs 80.00%,P<0.05).Conclusion Predictive intervention combined with risk management in patients with lung cancer treated undergoing intravenous chemotherapy using a chemo port can effectively improve the knowledge mastery of the chemo port,reduce the incidence of infection and blockage,and improve nursing satisfaction.

关键词

肺癌/静脉输液港化疗/预见性干预/风险管理/感染/堵塞

Key words

lung cancer/intravenous chemotherapy using a chemo port/predictive intervention/risk management/infection/blockage

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出版年

2024
河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子：1.075
ISSN：1002-7386
参考文献量24
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