肺癌患者发生PICC置管静脉炎的危险因素及护理干预对策

目的探讨肺癌患者发生PICC置管静脉炎的危险因素和护理干预对策。方法选取60例PICC置管的肺癌患者为研究对象,按照是否出现静脉炎分为静脉炎组13例和非静脉炎组47例,对可能导致静脉炎的危险因素进行单因素和多因素logistic回归分析。结果 2组在年龄、受教育年限、职业、置管时机、一次置管成功率、穿刺静脉、置管后活动时机、置管后屈肘、体力劳动程度、SCL-90评分方面比较,差异有统计学意义(P0.05);多因素logistic回归分析显示,一次穿刺成功、受教育年限长、置管后3 d内活动、体力劳动程度低是PICC静脉炎发生的保护因素(P0.05);化疗当天置管、职业为农民是PICC置管静脉炎发生的危险因素(P0.05)。结论置管时机、一次穿刺成功率、置管后的活动、受教育年限、体力劳动程度等与肺癌PICC患者的静脉炎密切相关,护理人员应选择合适的置管时机,加强对患者的健康教育。

Risk factors of peripherally inserted central catheter-associated phlebitis in patients with lung cancer and its nursing intervention

Objective To investigate the risk factors of peripherally inserted central catheter-associated phlebitis(PICC) in patients with lung cancer and its nursing interventions.Methods A total of 60 patients with lung cancer treated with PICC in our hospital were selected as research objects,the patients were divided into phlebitis group (n =13) and non-phlebitis (n =47) according to the occurrence of phlebitis.Risk factors for phlebitis were given univariate and multivariate logistic regression analysis.Results Age,education,occupation,catheter timing,one-time success rate of catheterization,puncture vein,the puncture time of catheterization,elbow flex after catheterization,physical labor and SCL-90 scores between the two groups showed statistically significant differences (P ＜0.05).Multivariate logistic regression analysis showed that the one-time success of catheterization,education and physical labor after 3 d and low physical labor were the protective factors of phlebitis in PICC (P ＜ 0.05).Catheter on the day of chemotherapy,the activity on the third postoperative day,occupation as a farmer were risk factors for PICC associated phlebitis (P ＜ 0.05).Conclusion Intubation time,one-time success rate of puncture,activity after catheter,education,physical labor are closely related with phlebitis of lung cancer patients with PICC,and medical stuff should choose the appropriate timing,and strengthen the health education of patients.