静脉治疗肿瘤患者选择中心静脉输液装置影响因素的调查分析

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。

Influencing factors of selecting vascular access device for tumor patients undergoing intravenous therapy

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.