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集束化护理预防白血病患者PICC置管并发症的效果
引用本文:余春鹤,朱娟娟.集束化护理预防白血病患者PICC置管并发症的效果[J].解放军护理杂志,2014(24):49-51.
作者姓名:余春鹤  朱娟娟
作者单位:1. 杭州市钢铁集团职工医院 内镜室,浙江 杭州,310022
2. 浙江省肿瘤医院 放疗科,浙江 杭州,310000
摘    要:目的探讨集束化护理在预防白血病患者PICC置管并发症中的效果。方法采用非同期队列对照设计,选取2013-2014年行PICC置管的115例白血病患者为研究对象,根据住院时间分为对照组58例和干预组57例,对照组采用常规护理,干预组采用集束化护理。比较两组患者静脉炎、局部渗血、皮肤过敏、感染、导管脱落及堵管等置管并发症的发生率。结果干预组患者PICC置管并发症的总体发生率为10.53%(6/57),低于对照组的31.03%(18/58),差异有统计学意义(χ2=12.36,P0.01)。结论集束化护理可有效降低白血病患者PICC置管并发症的发生率。

关 键 词:集束化护理  白血病  外周静脉置入中心静脉导管  并发症

Effect of Bundle of Care in Prevention of PICC Complication of Patients with Leukemia
Yu Chunhe,Zhu Juanjuan.Effect of Bundle of Care in Prevention of PICC Complication of Patients with Leukemia[J].Nursing Journal of Chinese People's Liberation Army,2014(24):49-51.
Authors:Yu Chunhe  Zhu Juanjuan
Institution:Yu Chunhe,Zhu Juanjuan(1.Endoscope Room, Worker' s Hospital of Hangzhou Iron and Steel Group, Hangzhou 310022, Zhejiang Province, China; 2. Department of Radiotherapy, Zhejiang Cancer Hospital, Hangzhou 310000, Zhejiang Province, China)
Abstract:Objective To evaluate the effect of bundle of care in prevention of PICC complication of patients with leukemia.Methods Totally 1 1 5 patients were selected and divided into the control group and intervention group by means of cohort study of nonsimultaneous period.The control group had conventional nursing and the intervention group was given bundle of care.The incidence of phlebophlogosis,local bleeding,allergic skin infection,catheter fall and catheter block were compared between two groups of patients.Results The occurrence rate of complication in intervention group was 10.53%(6/57),which was significantly lower than control group of 31.03%(18/58),and the difference was statistically significant (χ2=12.36,P〈0.01).Conclusion Bundle of care can significantly reduce the occurrence rate of PICC complication in patients with leukemia.
Keywords:bundle of care  leukemia  peripherally inserted central catheter  complication
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