河北医药2024,Vol.46Issue(17) :2705-2709.DOI:10.3969/j.issn.1002-7386.2024.17.032

恶性肿瘤患者化疗结束后实施延长输液港管理方案的价值研究

Value of implementing an extended infusion port management plan for malignant tumor patients after chemotherapy

成丹蕾 马婕 耿艳琴
河北医药2024,Vol.46Issue(17) :2705-2709.DOI:10.3969/j.issn.1002-7386.2024.17.032

恶性肿瘤患者化疗结束后实施延长输液港管理方案的价值研究

Value of implementing an extended infusion port management plan for malignant tumor patients after chemotherapy

成丹蕾 1马婕 1耿艳琴2
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作者信息

  • 1. 075061 河北省张家口市,河北北方学院附属第一医院肿瘤内科
  • 2. 075061 河北省张家口市,河北北方学院附属第一医院中医科
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摘要

目的 研究恶性肿瘤患者化疗结束后实施延长输液港维护时间管理方案对导管功能与并发症风险的影响.方法 选择2020年1月至2023年1月的植入输液港的恶性肿瘤患者105例,按照数字表法随机分为4周组、8周组、12周组,每组35例.3组分别按照4周 1次、8周1次、12周1次维护频率实施输液港维护管理,观察3组患者对输液港维护知识的认知情况、血栓风险评分得分、不良事件发生情况、患者护理满意度、导管维护费用.结果 置管后3组患者对输液管维护知识的认知水平均提高,但3组间差异无统计学意义(P>0.05);3组患者血栓风险评估得分差异无统计学意义(P>0.05);3组患者不良事件发生率差异无统计学意义(P>0.05);3组护理满意度评分差异明显,12周组最高,8周组次之,4周组最低(P<0.05);4周组管道维护费用高于8周组,8周组患者费用高于12周组(P<0.05).结论 4周1次、8周 1次及12周1次的维护间隔时间在血栓风险、并发症风险差异不明显,但12周组患者满意度更高,导管维护费用更低;但在维护间隔时间内,需要强化患者的居家自我管理,关注患者的导管维护认知问题.

Abstract

Objective To investigate the impact of implementing an extended infusion port management plan after chemotherapy in malignant tumor patients on catheter function and risk of complications.Methods A total of 105 malignant tumor patients implanted in the infusion port from January 2020 to January 2023 were included as the study subjects.They were randomly assigned 4-week group,8-week group and 12-week group according to the number table method,with 35 cases in each group.The infusion port management plan was performed every 4,8 and 12 weeks in the three groups,respectively.The cognitive level of infusion port maintenance knowledge,thrombosis risk assessment scores,incidence of adverse events,cost of catheter maintenance were compared among the three groups.Results After catheterization,the cognitive level of infusion tube maintenance knowledge in all three groups improved,but there was no significant difference among the three groups(P>0.05).There was no significant difference in the thrombosis risk assessment scores among the three groups(P>0.05).There was no significant difference in the incidence of adverse events among the three groups(P>0.05).There was a significant difference in nursing satisfaction scores among the three groups,with the highest score graded in the 12-week group,followed by the 8-week group and 4-week group(P<0.05).The cost of catheter maintenance in the 4-week group was significantly higher than that of the 8-week group,and it was significantly higher in the 8-week group than that of the 12-week group(P<0.05).Conclusion The infusion port management plan maintained every 4,8 and 12 weeks do not produce differences in thrombosis risk and complication risk.The management with an interval of 12 weeks has higher patient satisfaction and lower catheter maintenance costs.However,during the maintenance interval,it is necessary to strengthen the self-management at home and concern cognitive issues related to catheter maintenance.

关键词

恶性肿瘤/植入式静脉输液港/非治疗期/延长维护间隔/医疗支出

Key words

malignant tumor/implantable intravenous infusion port/non-treatment period/extend maintenance intervals/medical expenditure

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基金项目

张家口市科技计划项目(2021037D)

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
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