不同护理方式对肿瘤患者置管并发症的影响

目的探讨肿瘤患者经外周静脉穿刺置人中心静脉导管（peripherally inserted central catheter，PICC）在化疗间歇期居家护理对并发症的影响，以减少并发症发生，延长导管留置时间及使用寿命。方法将213例PICC并携带导管出院的肿瘤患者，随机分为定期回本单位护理组108例和社区护理组105例，比较2组患者间歇期并发症的发生情况。结果回本单位护理组总的并发症发生率为13．8％（15／108），社区护理组总的并发症发生率为51．4％（54／105），差异有统计学意义，P〈0．01。结论肿瘤患者PICC居家护理方式与导管留置过程并发症发生率有相关关系，建议患者尽可能回本单位护理以避免并发症的发生。

Study on effect of different family nursing methods on major catheter-related complications in cancer patients with PICC

Objective To study the effect of different family nursing methods on major catheter-related complications in cancer patients with peripherally inserted central catheter （PICC） during chemotherapy intermission so as to reduce the incidence of complications and prolong the indwelling time and service life of the catheter. Methods We randomly divided 213 cancer patients who were discharged from hospital with PICC into two groups. One group（108 cases） routinely came back to our outpatient clinic and the other （105 cases） went to the community for nursing of the catheter. Results The total incidence rate of complications of the group who came back to our outpatient clinic for nursing of the catheter was 13.8%（ 15/ 108） and the other group was 51.4%（54/105）. There existed statistical significance between the two groups （P 〈 0.01）. Conclusions There exists correlation between different family nursing methods and catheter complication rate. We suggest patients come back to our outpatient clinic for nursing of the catheter as possible as they can.