摘要
目的探讨乳腺癌患者应用植入式中心静脉输液港导管堵塞的因素,并就分析因素结果拟定相应延续性护理措施。方法选取2017年2月至2019年2月乳腺癌植入中心静脉输液港导管的165例患者为研究对象,其中有17例患者发生导管堵塞,收集所有患者一般资料、临床治疗措施等相关信息,采用单因素和多因素logistic回归分析导致应用植入式中心静脉输液港的乳腺癌患者导管堵塞的相关因素。结果单因素分析显示,导管堵塞的相关因素包括合并糖尿病、高凝状态、输注化疗药物、封管操作不当、输注高营养药物、置管侧测血压、未定期维护(P <0. 05);多因素logistic回归分析表明,封管操作不当、置管侧测血压、未定期维护是植入式中心静脉输液港导管堵塞的独立危险因素(P <0. 05)。结论责任护士应就患者出院居家进行延续性护理,避免由于患者因素导致植入式中心静脉输液港导管失败,影响乳腺癌的治疗和急救效果。
Objective To explore the factors of catheter blockage in breast cancer patients using implantable central venous infusion port,and to develop corresponding continuous nursing measures based on the analysis of factors. Methods We select 165 cases of patients with breast cancer who underwent implantation central venous infusion port from February 2017 to February 2019 as a study object. Among them,17 cases of patients had catheter blockage and we collected general information and related information of clinical treatment measures for all patients. Univariate and multivariate logistic regression analyses were used to determine related factors leading to catheter blockage in breast cancer patients with implantable central venous infusion port. Results Univariate analysis revealed that factors associated with catheter blockage included concurrent diabetes,hypercoagulable status,infusion of chemotherapy drugs,improper operation of sealing catheter,infusion of high-nutrition drugs,measuring blood pressure on the side of catheter,and non-regular maintenance( P < 0. 05). Multivariate logistic regression analysis showed that improper operation of sealing catheter,measuring blood pressure on the side of catheter,and non-regular maintenance were independent risk factors for catheter blockage in the implanted central venous port( P < 0. 05). Conclusion Responsible nurses should carry out continuous nursing for patients discharged from the hospital to avoid failure of the implantable central venous infusion port due to patient factors,affecting the treatment and first aid effect of breast cancer.
出处
《护理实践与研究》
2019年第22期36-38,共3页
Nursing Practice and Research
关键词
乳腺癌
植入式中心静脉输液港
导管堵塞
危险因素
延续护理
Breast cancer
Implantable central venous infusion port
Catheter blockage
Risk factors
Continuation nursing
