肿瘤患者治疗期PICC堵管相关因素分析与护理对策

发布时间：2018-03-31 00:19

本文选题：肿瘤患者　切入点：PICC堵管　出处：《全科口腔医学电子杂志》2016年17期

【摘要】：目的分析肿瘤患者治疗期PICC堵管相关因素,制定护理措施预防PICC堵管。方法研究对象为挑选350例患有肿瘤于2015年1月到2016年1月期间在我院接受治疗的患者,分别对比发生PICC堵管肿瘤患者的年龄、性别、穿刺静脉、尖端位置、吸烟史、咳嗽、及时冲管封管、高血压、冠心病、糖尿病、慢性阻塞性肺病以及2种以上慢性疾病等比例,分析肿瘤患者治疗期PICC堵管相关因素,制定护理措施。结果 350例肿瘤患者有14例患者在治疗期间发生PICC堵管,发生率为4%。根据单因素分析结果显示,年龄、尖端位置、咳嗽、慢性阻塞性肺病、及时冲管封管以及2种以上慢性病等与肿瘤患者治疗期间PICC堵管相关(P0.05),穿刺静脉、吸烟史、高血压、糖尿病以及冠心病与肿瘤患者PICC堵管无关(P0.05)。根据多因素分析结果显示,肿瘤患者治疗期PICC堵管与尖端位置、及时冲管封管、咳嗽以及同时患有2种以上慢性病有关(P0.05),慢性阻塞性肺病和年龄与肿瘤患者PICC堵管无关(P0.05)。结论肿瘤患者治疗期PICC堵管与尖端位置、及时冲管封管、咳嗽以及同时患有2种以上慢性病等因素相关,针对堵管高风险患者给予针对性护理措施。
[Abstract]:Objective to analyze the treatment of patients with stage PICC tumor plugging related factors, formulate nursing measures to prevent plugging PICC. Methods 350 cases were selected from January 2015 to January 2016 during the period of suffering from cancer patients treated in our hospital, respectively PICC plugging tumor patients' age, gender, vein puncture, tip position, smoking history. Cough, timely flushing pipe sealing, hypertension, coronary heart disease, diabetes, chronic obstructive pulmonary disease and the proportion of more than 2 kinds of chronic diseases, analysis of patients with tumor treatment period PICC plugging related factors and nursing measures. Results 350 cases of patients occurred in 14 patients during the treatment of PICC blocking tube, the incidence rate was 4%. according to the single factor analysis showed that age, the position of the tip, cough, chronic obstructive pulmonary disease, timely wash pipe sealing and more than 2 kinds of chronic diseases and PICC during the treatment of patients with cancer related (P0.05), plugging in Puncture vein, smoking history, hypertension, diabetes and coronary heart disease and cancer patients by plugging in PICC independent (P0.05). According to the results of multivariate analysis showed that patients with tumor PICC plugging and tip position, timely flushing pipe sealing tube, a cough and also have more than 2 kinds of chronic diseases (P0.05), chronic obstructive lung and age of patients with tumor PICC (P0.05) is independent of pipe blockage. Conclusion the treatment of tumor patients with PICC tube blocking tip position, timely wash pipe sealing, cough and also have more than 2 kinds of chronic diseases and other factors related to plugging in high risk patients given targeted nursing measures.

【作者单位】：江苏省新沂市人民医院肿瘤内科;
【分类号】：R473.73

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