针对性护理在PICC置管中的应用效果

吴细英

[摘要]目的 探讨针对性护理在PICC置管中的应用效果。方法 回顾性分析并总结2015年12月～2017年2月我院收治的30例肿瘤患者应用PICC技术结合针对性护理的临床效果，作为观察组；以同时期我院收治的另外30例应用PICC技术的肿瘤患者作为对照组，比较两组患者的并发症发生情况。结果 观察组患者穿刺点渗血、穿刺点感染、血栓等并发症发生率低于对照组，差异有统计学意义（P<0.01）。结论 采用PICC技术结合针对性护理，及时观察和发现护理问题，采取有效护理措施，减少和预防穿刺点渗血、穿刺点感染、血栓并发症的发生，保护外周血管，避免反复穿刺给患者带来的痛苦，为肿瘤患者提供了一条无痛性的治疗途径，保证肿瘤患者化疗的顺利完成，在临床中适应性好。

[关键词]外周中心静脉置管；针对性护理；应用效果

[中图分类号] R473.73 [文献标识码] A [文章编号] 1674-4721（2017）07（c）-0150-03

Application effect of targeted nursing in PICC

WU Xi-ying

Department of Oncology，the Second People′s Hospital of Jingdezhen in Jiangxi Province，Jingdezhen 333000，China

[Abstract]Objective To explore the application effect of targeted nursing in peripherally inserted central catheter （PICC）.Methods The clinical effects of applying PICC combined with targeted nursing in 30 tumor patients admitted into our hospital from December 2015 to February 2017 February were retrospectively analyzed and were selected as the observation group.At the same time，the clinical effect of another 30 tumor patients in our hospital and were applied with PICC was selected as the control group.The incidence of complication were compared between two groups.Results The incidence of complications （bleeding or infection of the puncture point and thrombosis） in the observation group （3.33%） was lower than that in the control group （30.00%），and the difference was statistically significant （P<0.01）.Conclusion Combination of PICC and targeted nursing protects peripheral blood vessels，can observe and detect nursing problems in time，and taking effective measures can decrease and prevent bleeding or infection of the puncture point and thrombosis complications，avoids the pain caused by repeated puncture，provide a painless therapeutic pathway，and ensures the successful accomplishment of chemotherapy in cancer patients，which has a great adaptability in clinic.

[Key words]Peripherally inserted central catheter；Targeted nursing；Application effect

外周中心静脉置管（PICC）是通过外周静脉进行穿刺置管，将导管尖端至于锁骨下静脉或上腔静脉的深静脉穿刺技术[1]。PICC具有导管可反复使用和间断使用、导管滞留时间长、置管患者的活动不受限制、安全、便捷等优点[2-3]。目前，PICC在临床医学上的应用较广，主要应用于中期或长期需进行静脉输液的患者[4-5]。PICC为肿瘤患者的静脉治疗提供了有效、方便、安全的治疗途径，对患者疾病治疗进程的加速和生活质量的提高具有积极的促进作用[6]。然而，PICC在应用的过程中可能会给肿瘤患者带来一系列相关并发症，使患者的病情进一步加重[7-8]。据此，必须采取针对性护理措施进行干预，针对性护理针对患者的具體疾病状况进行对症护理，强调护理措施的针对性，从而对可能出现的不利因素进行有效预防。本文就PICC技术结合针对性护理对肿瘤患者的临床效果进行探讨，现报道如下。

1资料与方法

1.1一般资料

回顾性……