CAJ | 학술논문

目的了解静脉治疗肿瘤患者选择血管通路装置的现状和探讨患者选择中心静脉输液装置的影响因素。方法采用方便抽样法，选取广州市三家三甲医院肿瘤科的376例患者进行调查，调查内容包括患者一般资料、患者意愿、血管部位穿刺情况、通路使用情况、症状困扰、临床情况6个维度41个条目。结果选用外周静脉输液装置的患者124例（33?0％）；选用中心静脉输液装置的患者252例（67?0%）。患者的付费方式、穿刺静脉的血管条件、诊断分期、医生决策、导管的预期留置时间是影响患者选择中心静脉输液装置的主要因素。结论国家相关部门应该加大对低收入者报销的比例，出台相关政策加强对基层卫生机构的投入，加强对基层医务人员的培训，加强与患者之间的交流，增加患者对输液装置的认识，从而帮助患者选择合理的血管通路。
목적료해정맥치료종류환자선택혈관통로장치적현상화탐토환자선택중심정맥수액장치적영향인소。방법채용방편추양법，선취엄주시삼가삼갑의원종류과적376례환자진행조사，조사내용포괄환자일반자료、환자의원、혈관부위천자정황、통로사용정황、증상곤우、림상정황6개유도41개조목。결과선용외주정맥수액장치적환자124례（33?0％）；선용중심정맥수액장치적환자252례（67?0%）。환자적부비방식、천자정맥적혈관조건、진단분기、의생결책、도관적예기류치시간시영향환자선택중심정맥수액장치적주요인소。결론국가상관부문응해가대대저수입자보소적비례，출태상관정책가강대기층위생궤구적투입，가강대기층의무인원적배훈，가강여환자지간적교류，증가환자대수액장치적인식，종이방조환자선택합리적혈관통로。
Objective To probe into the influencing factors of selecting the intravenous vascular access device for tumor patients undergoing intravenous therapy? Methods With convenience sampling,376 tumor patients in oncology department from 3 hospitals of class A hospitals in Guangzhou were selected for the survey including such 6 categories with 41 items as general data, patient’s willingness,punctured blood vessels,use of vascular access and clinical conditions? Results In 124 patients,peripheral venous catheter was used (33?0%)? Central venous catheter was used in 252 patients (67?0%),Multiple linear regression analysis showed that way for paying the expense,vascular conditions for venous punctuation,phased diagnosis,decision of the doctors,and prospected duration for detaining catheter significant influencing factors? Conclusions The state should raise their medical allowances for those with lower incomes? The administrative should enhance the training to doctors and nurses at grass levels,promote the communication between medical workers and patients and improve their recognition of transfusion devices so that they can make a right choice?