首页|恶性肿瘤患者PICC导管相关性感染因素及护理对策分析

恶性肿瘤患者PICC导管相关性感染因素及护理对策分析

扫码查看
目的 探究恶性肿瘤患者经外周置入中心静脉置管(PICC)的导管相关性感染因素,并提出护理对策。方法 以2019年1月-2022年1月佳木斯市中心医院行PICC置管的60例恶性肿瘤患者为研究对象,依据导管相关性感染的发生情况分为感染组(24例)与非感染组(36例),比较两组年龄、性别、单次置管穿刺次数、PICC留置时间、导管移动情况、导管置入部位及化疗次数,分析PICC导管相关性感染的危险因素。结果 感染组与非感染组单次置管穿刺次数、PICC留置时间、导管移动、导管置入部位、化疗次数比较,差异有统计学意义(P<0。05);多因素Logistic线性回归分析显示,单次置管穿刺次数、PICC留置时间、化疗次数是引起PICC导管相关性感染的独立危险因素(P<0。05)。结论 恶性肿瘤患者PICC导管相关性感染的危险因素包括单次置管穿刺次数、PICC留置时间、化疗次数,临床需针对以上因素实施相应护理干预,以降低导管相关性感染的发生风险。
Analysis of PICC Catheter-related Infection Factors and Nursing Countermeasures in Patients with Malignant Tumor
Objective To explore the catheter-related infection factors of peripherally inserted central catheter(PICC)in patients with malignant tumors,and to put forward nursing countermeasures.Methods From January 2019 to January 2022,60 patients with malignant tumors who underwent PICC catheterization in Jiamusi Central Hospital were selected as the research objects.According to the occurrence of catheter-related infection,they were divided into infection group(24 patients)and non-infection group(36 patients).The age,gender,number of single catheterization punctures,PICC indwelling time,catheter movement,catheter insertion site and number of chemotherapy were compared between the two groups,and the risk factors of PICC catheter-related infection were analyzed.Results There were statistically significant differences in the number of single catheterization punctures,PICC indwelling time,catheter movement,catheter insertion site,and number of chemotherapy between the infection group and the non-infection group(P<0.05).Multivariate Logistic linear regression analysis showed that the number of single catheterization puncture,PICC indwelling time and the number of chemotherapy were independent risk factors for PICC catheter-related infection(P<0.05).Conclusion The risk factors of PICC catheter-related infection in patients with malignant tumors include the number of single catheter punctures,PICC indwelling time,and number of chemotherapy.Clinically,corresponding nursing interventions should be implemented for the above factors to reduce the risk of catheter-related infection.

Peripherally inserted central catheterCatheter-related infectionRisk factorsNursing strategies

陈婧、郑丽梅、王晓英

展开 >

佳木斯市中心医院感染监控科,黑龙江佳木斯 154002

经外周置入中心静脉置管 导管相关性感染 危险因素 护理对策

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(3)
  • 26