中国护理管理
中國護理管理
중국호리관리
CHINESE NURSING MANAGEMENT
2015年
5期
551-554
,共4页
化疗方案,抗肿瘤%肿瘤化疗%PICC
化療方案,抗腫瘤%腫瘤化療%PICC
화료방안,항종류%종류화료%PICC
medical oncology%chemotherapy%PICC
目的：描述肿瘤患者化疗间歇期主动终止留置PICC的发生现况，分析其原因并探讨相应对策。方法：采用自制PICC拔管登记表对2014年5-10月北京市某三级甲等医院肿瘤科PICC置管的患者进行登记。结果：共收集381例有效记录，其中化疗间歇期不愿携带PICC的62例（16.27%）。Logistic回归分析发现，患者居住地、在职情况、文化程度及PICC类型是患者间歇期主动终止留置导管的影响因素。结论：患者居住偏远、带管工作、文化程度低及选择A类型（材质为聚氨酯）的导管是间歇期主动终止留置导管的危险因素。因此应针对性地开展健康教育；注重PICC患者的心理护理；加强基层护理人员PICC培训，促进连续性护理服务开展，将有助于提高PICC导管的利用率，降低化疗间歇期主动终止留置PICC的发生率，提升护理质量。
目的：描述腫瘤患者化療間歇期主動終止留置PICC的髮生現況，分析其原因併探討相應對策。方法：採用自製PICC拔管登記錶對2014年5-10月北京市某三級甲等醫院腫瘤科PICC置管的患者進行登記。結果：共收集381例有效記錄，其中化療間歇期不願攜帶PICC的62例（16.27%）。Logistic迴歸分析髮現，患者居住地、在職情況、文化程度及PICC類型是患者間歇期主動終止留置導管的影響因素。結論：患者居住偏遠、帶管工作、文化程度低及選擇A類型（材質為聚氨酯）的導管是間歇期主動終止留置導管的危險因素。因此應針對性地開展健康教育；註重PICC患者的心理護理；加彊基層護理人員PICC培訓，促進連續性護理服務開展，將有助于提高PICC導管的利用率，降低化療間歇期主動終止留置PICC的髮生率，提升護理質量。
목적：묘술종류환자화료간헐기주동종지류치PICC적발생현황，분석기원인병탐토상응대책。방법：채용자제PICC발관등기표대2014년5-10월북경시모삼급갑등의원종류과PICC치관적환자진행등기。결과：공수집381례유효기록，기중화료간헐기불원휴대PICC적62례（16.27%）。Logistic회귀분석발현，환자거주지、재직정황、문화정도급PICC류형시환자간헐기주동종지류치도관적영향인소。결론：환자거주편원、대관공작、문화정도저급선택A류형（재질위취안지）적도관시간헐기주동종지류치도관적위험인소。인차응침대성지개전건강교육；주중PICC환자적심리호리；가강기층호리인원PICC배훈，촉진련속성호리복무개전，장유조우제고PICC도관적이용솔，강저화료간헐기주동종지류치PICC적발생솔，제승호리질량。
Objective:To describe the current status of voluntary termination of PICC during chemotherapy intervals and to analyze the causes and explore the interventions. Method:The clinical data of oncology patients with PICC from a Level three local cancer hospital in Beijing were recorded during the period of May 2014 to October 2014. Results:381 qualiifed oncology patients were collected, 62 patients requested to terminate PICC (16.27%). Logistic regression analysis showed that residence, working conditions, education level and PICC type were the inlfuencing factors for termination of PICC. Conclusion:Distant residence, job situation, poor education level and type A PICC tubing were the risk factors for oncology patients to request to terminate PICC. It is suggested to promote speciifc helath education, psychological care, PICC training for nurses, and continuous nursing care in order to increase the application of PICC, decrease the incidence of PICC termination and ultimately improve quality of care.
