居家肿瘤患者不同中心静脉导管堵管危险因素分析
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摘要
目的探讨肿瘤患者居家期间携带不同类型中心静脉导管堵管发生的原因及护理对策。方法对门诊维护的17 751例携不同类型中心静脉导管肿瘤患者临床资料进行回顾性分析,并对堵管原因进行Logistic回归分析。结果 17 751例肿瘤患者发生堵管共319例,堵管率1.80%。多因素分析显示,年龄、留置时间、肿瘤类型、导管类型与堵管有关(P<0.05,P<0.01)。结论居家肿瘤患者中心静脉导管堵管发生与患者性别、导管类型及疾病种类等因素有关,护理人员应关注高危人群,做好居家健康指导,及时采取预防性干预措施,同时,加强专业培训,延伸居家护理服务,降低堵管发生率。
引文
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[13] 何晓容,沈英.社区PICC专业护士规范化培训的效果[J].护理学杂志,2018,33(13):52-54.
[2] 王建荣.输液治疗护理实践指南与实施细则[M].北京:人民军医出版社,2009:121.
[3] 杨莉,胡敏,张园园,等.肿瘤患者PICC置管血栓形成相关因素及预防措施探究[J].当代医学,2016,22(33):107-108.
[4] Kang J,Chen W,Sun W,et al.Peripherally inserted central catheter-related complications in cancer patients:a prospective study of over 50,000 catheter days[J].J Vasc Access,2017,18(2):153-157.
[5] 喻燕敏.PICC置管致静脉血栓原因分析[J].护理学杂志,2011,26(5):60-61.
[6] 黄珊.提高老年人静脉穿刺成功率的探讨[J].当代护士(学术版),2008(8):93-94.
[7] 张丽,陆箴琦,陆海燕,等.肿瘤患者PICC导管相关性血栓形成的相关因素分析[J].护理学杂志,2017,32(14):51-55.
[8] Costa P,Dorea E P,Kimura A F,et al.Incidence of nonelective removal of single-lumen silicone and dual-lumen polyurethane percutaneously inserted central catheters in neonates[J].JAVA,2014,19(1):35-41.
[9] 陈姬雅,李永连,程瑶琴.PICC堵管原因分析与对策[J].护士进修杂志,2008,23(8):751-752.
[10] Leung T K,Lee C M,Tai C J,et al.A retrospective study on the long-term placement of peripherally inser-ted central catheters and the importance of nursing care and education[J].Cancer Nurs,2011,34(1):25-30.
[11] 闻曲.PICC临床应用中的安全隐患及管理现状[J].护理学杂志,2013,28(14):6-8.
[12] Park J Y,Kim H L.A comprehensive review of clinical nurse specialist-led peripherally inserted central catheter placement in Korea:4101 cases in a tertiary hospital[J].J Infus Nurs,2015,38(2):122-128.
[13] 何晓容,沈英.社区PICC专业护士规范化培训的效果[J].护理学杂志,2018,33(13):52-54.