The effect of endocaval electrolocalization technology combined with PICC tunneled catheterization oncatheterized venous thrombosis in malignant tumor patients with special catheterization nursing intervention
以置管专项护理的干预在恶性肿瘤患者腔内心电定位技术联合隧道式 PICC置管对导管静脉血栓的影响

摘要

目的 探究恶性肿瘤病人以腔内心电定位技术联合隧道式 PICC 置管后，对患者实施置管专项护理干 预对降低导管静脉血栓的作用。方法 选取时间为 2019 月 12 月—2020 年 12 月期间，选取对象为我院恶性肿瘤 患者，参选患者入组条件为：肿瘤确诊、在我院进行腔内心电定位技术联合隧道式 PICC 置管、之后接受 PICC 肿瘤药物治疗的病人。按照随机数字表法将 56 例恶性肿瘤患者分为对照组和实验组，每组有患者人数为 28 例。 对照组恶性肿瘤患者采用常规护理，实验组恶性肿瘤患者采用置管专项护理。研究重点为两组患者导管静脉血栓 的发生概率。结果 对照组导管静脉血栓发生率高于实验组，差异对比有意义（P＜0.05）；对照组导管维护效果 评分均低于实验组（P＜0.05），数据之间有比较意义；实验组患者的自我护理能力评分较对照组明显更高，组 间差异存在临床对比意义（P<0.05）。对照组患者的护理依从率低于实验组患者（P＜0.05），数据对比存在统计 意义。对照组护理满意度低于实验组，数据存在显著差异（P＜0.05）。结论 置管专项护理干预的实施可以显著 降低腔内心电定位技术联合隧道式 PICC 置管恶性肿瘤患者导管静脉血栓发生几率，护理效果值得推广。

Abstract

Objective To explore the effect of special nursing intervention on patients with malignant tumors after catheterization with intracavitary electrocardiography and tunnel PICC on reducing catheter venous thrombosis.
Methods During the period from December 2019 to December 2020, patients with malignant tumors in our hospital were selected, and the conditions for enrollment were as follows: patients who were diagnosed with tumors, who were treated with intracavitary localization technology combined with tunnel PICC catheterization in our hospital, and then received PICC tumor drug treatment. According to the method of random number table, 56 patients with malignant tumors were divided into control group and experimental group, with 28 patients in each group. Patients with malignant tumors in the control group were given routine nursing care, while patients with malignant tumors in the experimental group were given special nursing care with catheterization. The focus of the study is the probability of catheter venous thrombosis in two groups of patients.
Results The incidence of catheter vein thrombosis in the control group was significantly higher than that in the experimental group (P; The score of catheter maintenance effect in the control group was lower than that in the experimental group (P; The score of self-care ability of the patients in the experimental group was significantly higher than that in the control group, and there was a clinical comparative significance between the groups (P<0.05). The nursing compliance rate of patients in the control group was lower than that in the experimental group (P. The nursing satisfaction of the control group was lower than that of the experimental group, with significant difference (P<0.05).
Conclusion   The implementation of special nursing intervention for catheterization can significantly reduce the incidence of catheter vein thrombosis in patients with malignant tumors treated by intracavitary electrolocalization combined with tunnel PICC catheterization, and the nursing effect is worth promoting.