Improvement and effect observation on fixed way of tumor chemotherapy patients with PICC
10.3760/j.issn.1674-2907.2014.07.005
- VernacularTitle:肿瘤化疗患者PICC固定方式的改进与效果观察
- Author:
Jufeng GU
1
;
Zhuhua ZHU
;
Hongfang YAO
;
Qiongjie LIU
Author Information
1. 214011 无锡，东南大学医学院附属江阴市人民医院肿瘤科
- Keywords:
Tumor;
Chemotherapy;
PICC;
Fixed way
- From:
Chinese Journal of Modern Nursing
2014;20(7):758-760
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of different fixed way of tumor chemotherapy patients with PICC .Methods Totals of 90 patients during June 2009 to June 2012 were randomly divided into experimental group and control group , with 45 cases in each group .Experimental group used the puncture vascular direction fixing way ,while control group used the “S” shape traditional fixed method .The breakage of catheter, catheter-related complications, patients ’ satisfaction and comfort of two groups were observed . Results In experimental group , catheter fracture rate was significantly lower than that in control group , and the difference was statistically significant (4.4% vs 20.0%, χ2 =5.075, P=0.024).Local bleeding occurred cases in experimental group were significantly less than that in control group (1 vs 9,χ2 =7.200,P=0.007). While phlebitis , catheter related infection , catheter obstruction , the complications such as tube out between two groups, no statistically significant difference was found (P>0.05).Experimental group had lower patients ’ satisfaction and comfort scores than control group , and the difference was statistically significant [(1.02 ±0.27) vs (2.16 ±0.35),(1.32 ±0.61) vs (2.45 ±0.67), t =1.173,1.528,respectively; P <0.05]. Conclusions Using the puncture vascular direction fixing way can reduce the local bleeding of PICC application and maintenance process , at the same time can prevent the PICC catheter fracture and increase patients ’ satisfaction and comfort in clinic .It is worth promoting clinically .
