Objective To analyze the present situation and reasons of short-term unplanned extubation after peripherally inserted central venous catheters (PICC)surgery in cancer patients. Methods A total of 2 458 cancer patients underwent PICC surgery were collected,and patients experienced short-term unplanned extubation were screened out to analyze the general information, catheter situation and reasons of unplanned extubation.Results Totally 2 431 cases (98.90%, 2431 /2458)were successfully followed-up and 103 patients (4.24%,103 /2431)experienced short-term unplanned extubation.Among them,the proportion of patients received primary PICC,pa-tients over 65 years old and patients with catheter located in median cubital vein were 96.12%(99 /103),59.22% (61 /103)and 46.60% (48 /103)respectively.The incidence of unplanned extubation were related to age,vascular choose and whether the primary PICC.Subjective will (61.17%,63 /103)of patients was the main reason for short-term unplanned extubation and the objective reasons were catheter prolapse (10.67%,11 /103),local thrombosis (7.77%,8 /103) and puncture site exudation /phlebitis(6.80%,7 /103),catheter-related infections (5.83%,6 /103)and so on.Conclusion Effective maintenance during the entire process after PICC such as adequate doctor-patient communication,positive patient education,strengthening outside hospital PICC maintenance training as well as establishment of good follow up system can reduce the inci-dence rate of short-term unplanned extubation.

Objective To analyze the present situation and reasons of short-term unplanned extubation after peripherally inserted central venous catheters (PICC)surgery in cancer patients. Methods A total of 2 458 cancer patients underwent PICC surgery were collected,and patients experienced short-term unplanned extubation were screened out to analyze the general information, catheter situation and reasons of unplanned extubation.Results Totally 2 431 cases (98.90%, 2431 /2458)were successfully followed-up and 103 patients (4.24%,103 /2431)experienced short-term unplanned extubation.Among them,the proportion of patients received primary PICC,pa-tients over 65 years old and patients with catheter located in median cubital vein were 96.12%(99 /103),59.22% (61 /103)and 46.60% (48 /103)respectively.The incidence of unplanned extubation were related to age,vascular choose and whether the primary PICC.Subjective will (61.17%,63 /103)of patients was the main reason for short-term unplanned extubation and the objective reasons were catheter prolapse (10.67%,11 /103),local thrombosis (7.77%,8 /103) and puncture site exudation /phlebitis(6.80%,7 /103),catheter-related infections (5.83%,6 /103)and so on.Conclusion Effective maintenance during the entire process after PICC such as adequate doctor-patient communication,positive patient education,strengthening outside hospital PICC maintenance training as well as establishment of good follow up system can reduce the inci-dence rate of short-term unplanned extubation.

ABSTRACT:Objective To explore the correlation between the psychological resilience and quality of life in breast cancer patients with chemotherapy.Methods From January 2012 through December 2013,80 breast cancer patients with adjuvant hormonal therapy were selected as object. The psychological resilience was assessed by Conner-Davidson Resilience Scale and the quality of life was assessed by Functional Assessment of Cancer Therapy-Breast (FACT-B)at 1 month and 6 months after chemotherapy.The correlation between the psychological resilience and quality of life was assessed by Spearman correlation analysis.Results The total scores of psychological re-silience in breast cancer chemotherapy patients at 1 month and 6 months after chemotherapy were (45.72±8.44)and (49.35±8.27),which were significantly lower than (65.4±13.9)of the do-mestic norm (P <0.05).The scores of tenacity,self reliance and optimism in breast cancer chemotherapy patients were also lower than those of the domestic norm (P <0.05).Spearman correlation analysis showed that the psychological resilience had positive correlations with physical dimension,social /family dimension,emotional dimension and functional dimension (P <0.05). Conclusion Psychological resilience in breast cancer chemotherapy patients is low,and it shows a positive correlation with quality of life.The strength of the resilience in breast cancer chemothera-py patients can help promote their quality of life.

ABSTRACT:Objective To explore the correlation between the psychological resilience and quality of life in breast cancer patients with chemotherapy.Methods From January 2012 through December 2013,80 breast cancer patients with adjuvant hormonal therapy were selected as object. The psychological resilience was assessed by Conner-Davidson Resilience Scale and the quality of life was assessed by Functional Assessment of Cancer Therapy-Breast (FACT-B)at 1 month and 6 months after chemotherapy.The correlation between the psychological resilience and quality of life was assessed by Spearman correlation analysis.Results The total scores of psychological re-silience in breast cancer chemotherapy patients at 1 month and 6 months after chemotherapy were (45.72±8.44)and (49.35±8.27),which were significantly lower than (65.4±13.9)of the do-mestic norm (P <0.05).The scores of tenacity,self reliance and optimism in breast cancer chemotherapy patients were also lower than those of the domestic norm (P <0.05).Spearman correlation analysis showed that the psychological resilience had positive correlations with physical dimension,social /family dimension,emotional dimension and functional dimension (P <0.05). Conclusion Psychological resilience in breast cancer chemotherapy patients is low,and it shows a positive correlation with quality of life.The strength of the resilience in breast cancer chemothera-py patients can help promote their quality of life.