持续改进护理在预防恶性肿瘤患者化疗期间外周置入中心静脉导管感染的效果观察

目的观察持续改进护理在预防恶性肿瘤患者化疗期间外周置入中心静脉导管（PICC）感染的疗效。方法采用回顾性对照研究，选择2012年1月至2012年12月123例PICC置管化疗的恶性肿瘤患者作为对照组，选取2013年1月至2013年12月129例PICC置管化疗的恶性肿瘤患者为观察组，比较持续改进护理前后护理人员PICC相关知识及处理能力改进情况，同时比较两组患者PICC置管期间感染发生率。结果持续改进护理实施后，本院肿瘤科护士PICC理论知识及感染处理能力均有显著提高，实施后与实施前比较差异具有统计学意义（P均〈0．05）。对照组PICC感染发生率为13．82％，观察组PICC感染发牛率为3．83％，两组比较差异具有统计学意义（x^2=4．100，P〈0．05）。结论应用持续改进护理循环管理模式，有利于减少和消除护理不当导致的PICC相关感染，具有较好的防控作用，为恶性肿瘤患者化疗的顺利完成创造了必要的条件。

Effect of continuous improvement nursing for peripherally inserted central catheter in the prevention of chemotherapy patients with malignant tumor infection

Objective To investigate the effect of the continuous improvement nursing care in the prevention during chemotherapy in patients with malignant tumor of peripherally inserted central catheter （PICC） infection. Methods Total of 123 patients with cancer chemotherapy with PICC in January 2012 to December 2012 in our hospital were collected as the control group. While 129 cases with cancer chemotherapy with PICC in January 2013 to December 2013 in our hospital were collected as the observation group. Control study were taked, the PICC related knowledge and the processing ability before and after the continuous improvement nursing of the two groups were compared, at the same time, the infection incidence during PICC tube in the two group were compared, respectively. Results After the implementation of continuous improvement of nursing care, oncology nurses in our hospital, the PICC theoretical knowledge and infection ability were improved significantly, with significant difference （P all 〈 0.05）. The infection rate of the control group was 13.82%, the infection rate of the observation group was 3.83%, with significant difference （x^2 = 4.100, P 〈 0.05）. Conclusions The nursing of circulation management mode of continuous improvement, is conducive to reduce and eliminate PICC infection related to improper care, has good control effect, for the smooth completion of chemotherapy in patients with malignant tumor and create necessary conditions.