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目的探讨延续护理对携带经外周静脉穿刺中心静脉置管(PICC)出院肿瘤患者的影响。方法选取2013年5月至2015年5月吉林省长春市九台区人民医院收治的110例携带PICC出院的恶性肿瘤患者作为研究对象,按照双盲法将其分为观察组与对照组,各55例。对照组患者行传统PICC置管相关知识教育,观察组患者在对照组基础上实施延续护理,比较两组患者出院时PICC相关知识掌握程度及导管脱出、导管相关感染、导管破损、血栓形成及导管堵塞发生情况。结果观察组患者对PICC相关知识的总掌握率显著高于对照组,差异有统计学意义(P<0.05);观察组患者导管脱出、导管相关感染、导管破损的发生率均显著低于对照组,差异均有统计学意义(均P<0.05)。结论延续护理可有效提高携带PICC出院肿瘤患者对PICC相关知识的掌握能力,降低PICC相关并发症的发生率。
Objective To investigate the effect of extended care on patients discharged from PICCs with peripheral venous catheterization. Methods From May 2013 to May 2015, 110 patients with malignant tumor carrying PICC discharged from the People’s Hospital of Jiutai District, Changchun City, Jilin Province were selected as study subjects, and were divided into observation group and control group according to double-blind method 55 cases. Patients in the control group underwent traditional PICC catheter-related education. Patients in the observation group underwent continuous nursing care on the basis of the control group. PICC-related knowledge of control and catheter prolapse, catheter-related infection, catheter damage, thrombosis and catheterization were compared between the two groups Blockage occurred. Results The total mastery rate of PICC-related knowledge in observation group was significantly higher than that in control group (P <0.05). The incidences of catheter-induced catheter-related infection and catheter-induced injury in observation group were significantly lower than those in control group , The differences were statistically significant (all P <0.05). CONCLUSION: Extended nursing can effectively improve the mastery of PICC-related knowledge in patients with PICC discharged from hospital and reduce the incidence of PICC-related complications.