Preventive effect of modified internal jugular vein catheter fixation intervention on catheter accidental prolapse and blockage in children undergoing hematopoietic stem cell transplantation
Objective To explore the application of modified internal jugular vein catheter fixation in the nursing of children with hematopoietic stem cell transplantation(HSCT).Methods From October 2019 to October 2022,76 children with HSCT who underwent internal jugular double vena cava catheterization in our hospital were selected as the research objects.The children were divided into control group and observation group by random number table method,with 38 cases in each group.The control group was fixed with conventional fixation method,and the observation group was fixed with modified internal jugular vein catheter.The intervention effects of the two groups were compared.Results The degree of local infection at the puncture point and contact dermatitis in the observation group were lighter than those in the control group,and the differences were statistically significant(P<0.05).There was no accidental catheter prolapse in the observation group,and the recanalization rate after catheter blockage and permanent catheter blockage rate were lower than those in the control group,the differences were statistically significant(P<0.05).The activity of children in the observation group was better than that in the control group,and the satisfaction of family members was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion The modified internal jugular vein catheter fixation intervention during HSCT treatment can achieve better fixation effect and safety,effectively prevent accidental catheter prolapse and blockage,help to ensure the smooth progress of treatment,and significantly improve the satisfaction of family members.
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