肿瘤患者PICC并发静脉血栓的影响因素以及护理策略研究(1)
【摘要】 目的 研究腫瘤患者经外周静脉穿刺中心静脉置管(PICC)并发静脉血栓的影响因素以及护理策略。方法 47例行PICC后并发静脉血栓的肿瘤患者， 回顾性分析并发静脉血栓的影响因素;根据不同护理策略划分为对照组(23例)和研究组(24例)。对照组患者给予常规护理， 研究组患者在对照组基础上给予综合护理干预。对比两组患者护理前后心理状态;护理后血小板各参数、各血栓前状态分子标志物水平;护理满意度。结果 肿瘤患者PICC并发静脉血栓的影响因素较多， 包括：①不同年龄段;②不同肿瘤分期;③置入静脉;④管道的材料、位置等。护理后， 两组患者汉密尔顿焦虑量表(HAMA)评分均较本组护理前明显下降， 且研究组HAMA评分(19.78±4.51)分低于对照组的(24.97± 4.53)分， 差异具有统计学意义(P<0.05)。护理后， 两组患者血小板各参数水平对比差异有统计学意义(P<0.05)。护理后， 两组患者各血栓前状态分子标志物水平对比差异具有统计学意义(P<0.05)。研究组患者护理满意度为95.83%， 高于对照组的69.57%， 差异具有统计学意义(P<0.05)。结论 肿瘤患者PICC并发静脉血栓的影响因素较多， 而给予并发静脉血栓的PICC患者综合护理干预， 能够最大限度地改善血栓状态， 进而提升患者的生存质量。
【关键词】 肿瘤;经外周静脉穿刺中心静脉置管;静脉血栓;影响因素;护理策略
【Abstract】 Objective To study the influencing factors and nursing strategies of peripherally inserted central catheter (PICC) complicated with venous thrombosis in tumor patients. Methods A total of 47 patients with venous thrombosis after PICC were retrospectively analyzed. According to different nursing strategies， they were divided into control group (23 cases) and research group (24 cases). The control group received conventional nursing， and the research group received conventional nursing intervention on the basis of the control group. Comparison were made on psychological state before and after nursing， platelet parameters and molecular markers level of prethrombotic state after nursing and nursing satisfaction between the two groups. Results There were many factors affecting PICC complicated with venous thrombosis in tumor patients， including： ①different age groups; ②different stages of tumors; ③vein implantation; ④material and location of the pipeline. After nursing， both groups had obviously lower Hamilton anxiety scale (HAMA) than that before nursing， and the research group had lower HAMA score as (19.78±4.51) points than (24.97±4.53) points in the control group. Their difference was statistically significant (P<0.05). After nursing， both groups had statistically significant difference in platelet parameters (P<0.05). After nursing， both groups had statistically significant difference in molecular markers level of prethrombotic state (P<0.05). The research group had higher nursing satisfaction degree as 95.83% than 69.57% in the control group， and the difference was statistically significant (P<0.05). Conclusion There are many factors influencing PICC complicated with venous thrombosis in patients with tumor， and comprehensive nursing intervention of PICC can maximize the thrombus state of patients with complicated venous thrombosis and improve their quality of survival., http://www.100md.com(宿英洁)
【关键词】 肿瘤;经外周静脉穿刺中心静脉置管;静脉血栓;影响因素;护理策略
【Abstract】 Objective To study the influencing factors and nursing strategies of peripherally inserted central catheter (PICC) complicated with venous thrombosis in tumor patients. Methods A total of 47 patients with venous thrombosis after PICC were retrospectively analyzed. According to different nursing strategies， they were divided into control group (23 cases) and research group (24 cases). The control group received conventional nursing， and the research group received conventional nursing intervention on the basis of the control group. Comparison were made on psychological state before and after nursing， platelet parameters and molecular markers level of prethrombotic state after nursing and nursing satisfaction between the two groups. Results There were many factors affecting PICC complicated with venous thrombosis in tumor patients， including： ①different age groups; ②different stages of tumors; ③vein implantation; ④material and location of the pipeline. After nursing， both groups had obviously lower Hamilton anxiety scale (HAMA) than that before nursing， and the research group had lower HAMA score as (19.78±4.51) points than (24.97±4.53) points in the control group. Their difference was statistically significant (P<0.05). After nursing， both groups had statistically significant difference in platelet parameters (P<0.05). After nursing， both groups had statistically significant difference in molecular markers level of prethrombotic state (P<0.05). The research group had higher nursing satisfaction degree as 95.83% than 69.57% in the control group， and the difference was statistically significant (P<0.05). Conclusion There are many factors influencing PICC complicated with venous thrombosis in patients with tumor， and comprehensive nursing intervention of PICC can maximize the thrombus state of patients with complicated venous thrombosis and improve their quality of survival., http://www.100md.com(宿英洁)