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目的探讨乳腺癌术后PICC静脉置管患者实施风险管理的效果。方法将80例乳腺癌术后化疗患者分为对照组和观察组各40例,对照组按常规对乳腺癌术后患者进行PICC静脉置管和维护,出现护理风险时予以对症处理。观察组对乳腺癌术后患者实施PICC静脉置管和维护时建立风险管理流程对患者的护理风险进行识别、分析和预防。结果两组患者对PICC置管知识掌握情况、患者带管期间并发症发生、患者满意度比较,差异有统计学意义(均P<0.01)。结论乳腺癌术后PICC静脉置管患者实施风险管理提高护士对风险的认识,减少护理缺陷和投诉,降低护理风险,提高患者满意度。
Objective To investigate the effect of risk management in PICC patients after breast cancer surgery. Methods Eighty patients with postoperative chemotherapy for breast cancer were divided into control group and observation group, 40 cases in each group. Patients in control group were routinely catheterized and maintained with PICC for patients with breast cancer and were given symptomatic treatment in case of nursing risk. The observation group established the risk management procedure to identify, analyze and prevent the patient’s nursing risk when implementing PICC venous catheterization and maintenance for postoperative patients with breast cancer. Results There was significant difference between the two groups in the knowledge of PICC catheterization, the complication in patients with catheterization and the patient satisfaction (all P <0.01). Conclusion The risk management of PICC patients after breast cancer operation is improved, nurses’ awareness of risk is reduced, nursing defects and complaints are reduced, risk of nursing care is reduced and patient satisfaction is improved.