1例双侧乳腺癌不同术式后保留PICC患者的护理
Nursing care of a patient with bilateral breast cancer using a PICC line after diffe-rent surgical procedures
王童语 1林琴 2李旭英 1袁忠 2宋小花 3刘维3
作者信息
- 1. 湖南省肿瘤医院护理部(湖南长沙,410013)
- 2. 湖南省肿瘤医院血管通道中心(湖南长沙,410013)
- 3. 湖南省肿瘤医院头颈外三乳腺肿瘤整形外科(湖南长沙,410013)
- 折叠
摘要
总结1例行左侧乳腺癌改良根治术、右侧乳房重建术患者成功保留患肢PICC的护理经验.护理重点包括术前多学科评估保留PICC的利弊,制定和实施周密的综合护理方案;加强对症管理、康复锻炼,加强营养支持及心理康复;强化延续护理.结果患者术后住院18 d,切口愈合好,携带PICC出院.出院后继续相关治疗至治疗结束拔除PICC,共留置338 d(入院前留置128 d,住院期间留置85 d,出院后留置125 d),未发生PICC相关并发症.
Abstract
This paper summarizes the nursing experience of PICC successfully retained in the affected arm in a patient undergoing left-sided modified radical mastectomy for left breast cancer and right breast reconstruction.Nursing priorities included preoperative multidisciplinary assessment of the pros and cons of retaining the PICC line,formulating and implementing a comprehensive care plan,strengthening symptom management,providing rehabilitation exercises,nutritional support,psychological rehabilitation,and continuous care.The patient was hospitalized for 18 days postoperatively,with good wound healing,and discharged with the PICC line.After discharge,relevant treatments continued and PICC line was removed when all treatments were completed.The to-tal indwelling time was 338 days(128 days before admission,85 days during hospitalization,and 125 days after discharge),and no PICC-related complications occurred.
关键词
乳腺癌/经外周置入中心静脉导管/乳腺癌改良根治术/乳房重建/静脉血栓/外科护理Key words
breast cancer/peripherally inserted central catheter/modified radical mastectomy/breast reconstruction/venous thromboembolism/surgical nursing引用本文复制引用
基金项目
湖南省卫生健康委科研课题立项(B202314057966)
中华护理学会2021年度立项科研课题(ZHKY202106)
2023年度创新型省份建设专项科普专题项目(2023ZK4219)
出版年
2024
NETL
NSTL
万方数据