首页|运用集束化护理结合预见性护理措施在肿瘤患者PICC置管中的应用

运用集束化护理结合预见性护理措施在肿瘤患者PICC置管中的应用

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目的:探究集束化护理结合预见性护理措施在经外周静脉穿刺中心静脉(PICC)置管肿瘤患者中的临床应用效果.方法选择2022年1月~2023年6月在本院住院治疗的60例PICC置管肿瘤患者作为研究对象,按照随机数表法均分为观察组和对照组各30例.对照组患者在PICC置管期间给予常规护理,观察组患者在PICC置管期间实行集束化护理结合预见性护理.比较两组患者的PICC置管并发症发生率,比较护理前后两组患者的自我管理能力评分和焦虑、抑郁评分,比较护理干预后两组患者的健康状况调查问卷(SF-36)评分.结果观察组患者的PICC置管并发症发生率为6.67%,明显低于对照组的26.67%,差异比较有统计学意义(P<0.05).护理前,两组患者的自我管理能力评分以及焦虑、抑郁评分比较无统计学意义(P>0.05);护理后,观察组的自我管理能力评分明显高于对照组,焦虑、抑郁评分均明显低于对照组,差异比较有统计学意义(P<0.05).护理后,两组患者的总体健康、躯体疼痛、生理职能以及社会职能评分均明显高于对照组,差异有统计学意义(P<0.05).结论肿瘤患者在PICC置管期间实行集束化护理结合预见性护理,能够有效减少相关并发症的发生,对于提高自我管理能力、改善患者心理状态和生活质量都具有积极意义.
Objective To research the clinical application of cluster nursing combined with predictive nursing measures in patients with PICC tumor.Method 60 cases of tumor patients hospitalized in our hospital from January 2022 to June 2023 were selected as the research object.According to the random number table method,they were divided into observation group and control group with 30 cases in each group.The patients in the control group were given routine care during PICC catheterization,while patients in the observation group were given cluster nursing combined with predictive nursing during PICC catheterization.Compared the incidence of PICC catheter complications between the two groups,compare the scores of self-management ability,anxiety and depression before and after nursing,and compare the SF-36 scores of the two groups after nursing intervention.Result The complication rate of PICC in the observation group was 6.67%,which was significantly lower than that in the control group(26.67%),and the difference was statistically significant(P<0.05).Before nursing,the scores of self-management ability,anxiety and depression between the two groups were not statistically significant(P>0.05);after nursing,the self-management ability score of the observation group was significantly higher than that of the control group,and the scores of anxiety and depression were significantly lower than that of the control group.and the differences were statistically significant(P<0.05).After nursing,the scores of general health,physical pain,physiological function and social function of the two groups were significantly higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Cluster nursing combined with predictive nursing for cancer patients during PICC catheterization can effectively reduce the occurrence of related complications,which is of positive significance for improving self-management ability and improving patients'psychological state and quality of life.

Cluster nursingPredictive nursingPICC catheterizationmalignant tumor

高倩、邹庆锋、曾礼萍

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于都县人民医院 江西赣州 342300

恶性肿瘤 集束化护理 预见性护理 经外周静脉穿刺中心静脉置管

2023

黑龙江中医药
黑龙江省中医研究院

黑龙江中医药

影响因子:0.425
ISSN:1000-9906
年,卷(期):2023.52(5)
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