目的 调查肿瘤患者经外周静脉置入中心静脉导管(PICC)后并发血栓的可能危险因素,探讨降低肿瘤PICC患者并发血栓对策.方法 选取我院收治的肿瘤PICC患者80例作为研究对象,所有患者均随访观察至撤管.对所有患者进行随访跟踪收集相关指标,按照患者是否并发血栓将其分为观察组(18例)和对照组(62例),对两组的可能影响PICC并发血栓因素进行组间比较,对差异有统计学意义的因素进行多因素Logistic回归分析,总结肿瘤患者PICC并发血栓的危险因素.根据数据结果探讨预防总量患者PICC并发血栓对策.结果 影响肿瘤患者PICC并发血栓的可能相关因素有:年龄、肿瘤分期、肿瘤转移、置入静脉、日常活动时间、放化疗史、凝血功能、营养状况、静脉血栓病史、置管医生年资(P＜0.05);影响肿瘤患者PICC并发血栓的可能高危因素:经多因素Logis-tic分析结果显示,患者年龄≥70岁、肿瘤完全、置管为头静脉、肿瘤转移、日常活动时间≤0.5h、静脉血栓史为肿瘤患者PICC并发血栓的危险因素.结论 肿瘤患者PICC并发血栓几率高,应综合评估患者情况,合理制定PICC置管方案,加强日常活动干预降低并发血栓风险.
目的 分析延续性护理在PICC置管肿瘤患者预防血栓的应用效果,为PICC肿瘤患者护理方案提供参考.方法 选取2017年2月至2020年2月在我院治疗后准备出院的80例PICC置管肿瘤患者为研究对象,按数字随机分为对照组和观察组各40例.对照组采用常规随访护理,观察组在常规随访护理基础上采用延续性护理.比较两组患者生活质量评分,血栓发生率及护理满意率.结果 (1)观察组患者环境评价、社会关系评分及心理评分均明显高于对照组,比较差异有统计学意义(P＜0.05);(2)观察组患者血栓发生率明显低于对照组,比较差异有统计学意义(P＜0.05);(3)观察组患者护理满意度为87.5％,对照组患者护理满意率为65％,观察组明显高于对照组,比较差异有统计学意义(P＜0.05).结论 采用延续性护理对PICC置管肿瘤患者的生活质量得到大大提高,降低血栓发生率,提高肿瘤患者的护理满意度.
Objective To investigate the effect of comprehensive nursing intervention on postoperative self-care ability and quality of life in patients with lung cancer.Methods A total of 150 patients with lung cancer treated at Shaanxi Provincial Tumor Hospital between January 2011 and January 2015 were selected.Using a random number table,patients were divided into an experimental group and a control group with 75 patients in each group.The experimental group was given comprehensive nursing based on routine nursing and the control group was given conventional nursing.European organization for Research and Treatment of Cancer (EORTC) score,exercise of self-care agency scale (ESCA) and self-nursing adverse situation were compared between the two groups.Results The scores of self-care ability were higher at 4 levels in the experimental group than in the control group (all P ＜ 0.05).The rate of self-care accidents in the control group (24.0％) was higher than in the experimental group (2.7％) (P ＜0.05).After the intervention,EORTC scores were significantly higher in the experimental group at 7 levels than before intervention and the control group (all P ＜ 0.05).Conclusion Comprehensive nursing intervention can effectively improve self-nursing ability and quality of life in patients with lung cancer and it is worthy of wide application.
