Objective: to explore the application effect of crisis prevention theory in reducing PICC catheter-related thrombosis in leukemia patients. Methods: 200 patients with leukemia who were admitted to our hospital from Ja...Objective: to explore the application effect of crisis prevention theory in reducing PICC catheter-related thrombosis in leukemia patients. Methods: 200 patients with leukemia who were admitted to our hospital from January 2018 to December 2019 and met the inclusion criteria were selected as the research objects. Among them, 100 patients with leukemia admitted from January to December 2018 were taken as the control group and received routine nursing intervention. From January to December, 2019, 100 leukemia patients were treated as the experimental group, and the crisis prevention theory was used to manage PICC catheter-related thrombosis and improve the continuous quality of patients. Compare the difference of knowledge, attitude and practice of PICC catheter-related thrombosis prevention and the incidence of PICC catheter-related thrombosis between two groups. Results: after the intervention, the KAP scores of PICC catheter-related thrombosis in the experimental group were significantly higher than those in the control group (P < 0.05). The incidence of PICC catheter-related thrombosis in the experimental group was 0(0.00%) lower than that in the control group (6.0%), and the difference was statistically significant (χ2=4.736, P=0.030). Conclusion: the application of crisis prevention theory in reducing PICC catheter-related thrombosis in leukemia patients can effectively improve the knowledge, belief and behavior of PICC catheter-related thrombosis prevention, reduce the incidence of PICC catheter-related thrombosis and improve the management quality of PICC catheter.展开更多
Objective: to explore the nursing effect of avoiding PICC catheter infection in patients with hematological diseases complicated with diabetes. Methods: from January 2021 to January 2022, 102 PICC patients with hemato...Objective: to explore the nursing effect of avoiding PICC catheter infection in patients with hematological diseases complicated with diabetes. Methods: from January 2021 to January 2022, 102 PICC patients with hematological diseases and diabetes were divided into the management group (predictive nursing) and the reference group (ordinary care), and the nursing effects were compared. Results: compared with the reference group, the indexes of the management group were better (P < 0.05). Conclusion: predictive nursing care for patients with hematological diseases complicated with diabetes can reduce PICC catheter infection, and it is recommended to popularize it.展开更多
Objective: to explore the nursing effect of applying PICC in chemotherapy of malignant tumor patients with diabetes. Methods: a total of 50 patients with malignant tumor receiving PICC chemotherapy were randomly selec...Objective: to explore the nursing effect of applying PICC in chemotherapy of malignant tumor patients with diabetes. Methods: a total of 50 patients with malignant tumor receiving PICC chemotherapy were randomly selected and studied, among which 12 patients were complicated with diabetes. There were 38 cases without diabetes. The related indexes of the two groups of patients were compared and analyzed. Results: by comparing the local infection rates of the two groups of patients, it was found that among the 12 patients with malignant tumor and diabetes, 6 cases had infection, and the infection rate was 58.33%. Among the 38 patients without tumor, no infection occurred. All-round nursing intervention had achieved good results, and no extubation and treatment were stopped. Comparing the other complications of the two groups of patients, it was found that the complication rate of the patients without diabetes was significantly lower than that of the control group. Conclusion: compared with patients with diabetes mellitus, patients without diabetes mellitus have a lower incidence of infection after catheterization. However, for patients with diabetes mellitus, effective nursing measures can prevent infection.展开更多
Objective: to observe the application effect of intravenous therapy nursing group in continuous care of patients discharged from hospital with PICC catheter. Methods: seventy patients with PICC catheter discharged fro...Objective: to observe the application effect of intravenous therapy nursing group in continuous care of patients discharged from hospital with PICC catheter. Methods: seventy patients with PICC catheter discharged from our hospital from May 2018 to May 2020 were selected as the object, and the patients were randomly divided into two groups by dice method. The control group received conventional continuous care, and the observation group received intravenous therapy nursing intervention. The effects of the two methods on the patients were compared. Results: the number of cases of adverse conditions in the observation group was less than that in the control group, and the difference between groups was significant (P < 0.05). Conclusion: patients discharged with PICC catheterization should carry out continuous nursing according to the nursing group of intravenous therapy, reduce the influence of adverse factors on patients, and prolong the indwelling time.展开更多
Objective:Patients after radical gastrectomy often require medium-to long-term intravenous therapy.However,traditional central venous catheters(CVCs)have issues such as high infection risk and poor comfort.This study ...Objective:Patients after radical gastrectomy often require medium-to long-term intravenous therapy.However,traditional central venous catheters(CVCs)have issues such as high infection risk and poor comfort.This study aims to deeply explore the clinical application value of peripherally inserted central catheters(PICCs)after radical gastrectomy,providing a scientific basis for optimizing intravenous access selection.Methods:Fifty patients requiring catheterization after radical gastrectomy at the Friendship Hospital of Ili Kazak Autonomous Prefecture from December 2022 to May 2024 were selected.Catheterization site selection was based on patients’preferences,dividing them into two groups:the experimental group receiving PICCs and the control group receiving CVCs,with 25 patients in each group.Multi-dimensional comparative analysis was conducted,including catheterization operation time,catheter indwelling time,success rates of first and second catheterizations,and complication rates.Statistical methods such as t-tests and chi-square tests were used for in-depth analysis.Results:Compared to the control group,the experimental group had longer catheterization operations and catheter indwelling times,and a higher success rate of first catheterization(P<0.05).The incidence of catheterization complications in the experimental group was 12.00%,lower than the 40.00%in the control group(P<0.05).Conclusion:Although PICC catheterization after radical gastrectomy has relatively longer catheterization operation and indwelling times,it has a high success rate of first catheterization and a low complication rate,demonstrating high clinical application value and worth promoting in clinical practice.展开更多
Objective: to study the clinical effect of cluster management to prevent complications in patients with multiple myeloma after PICC catheterization. Methods: fifty-eight PICC patients with multiple myeloma admitted to...Objective: to study the clinical effect of cluster management to prevent complications in patients with multiple myeloma after PICC catheterization. Methods: fifty-eight PICC patients with multiple myeloma admitted to our hospital from January 2021 to January 2022 participated in this study, and they were divided into study group and reference group by means of average distribution. Patients in the reference group were given routine nursing mode, and patients in the study group were intervened by cluster management. The quality of life, the use effect of PICC catheter, the probability of complications and the utilization rate of PICC catheter were compared between the two groups. Results: compared with the reference group, the patients in the study group had a longer catheter life cycle (P < 0.05), a shorter hospital stay (P < 0.05), a higher catheter utilization rate (P < 0.05) and a lower complication rate (P < 0.05). After the intervention, the social adaptability, psychological function and physiological function of the patients in the two groups were improved, compared with those before the intervention. The effect of cluster management in the study group was more obvious than that of routine nursing in the reference group (P < 0.05). Conclusion: the application of cluster management mode in the intervention of PICC patients with multiple myeloma can effectively improve the quality of life of patients, improve the use of catheters, and avoid catheter-related complications, which can be widely popularized in clinic.展开更多
This study aimed to explore an effective nursing plan for peripherally inserted central catheter(PICC)placement guided by endocardial electrocardiogram(ECG)positioning technology and to analyze related nursing problem...This study aimed to explore an effective nursing plan for peripherally inserted central catheter(PICC)placement guided by endocardial electrocardiogram(ECG)positioning technology and to analyze related nursing problems and countermeasures.A total of 96 patients who underwent PICC placement using ECG-guided positioning technology in our hospital from January 2024 to December 2024 were selected and randomly divided into an experimental group(n=48)and a control group(n=48)using a random number table.The control group received routine basic nursing care,while the experimental group was provided with comprehensive high-quality nursing care.The results showed that the success rate of one-time catheter placement was significantly higher in the experimental group than in the control group(P<0.05),while the incidence of complications was notably lower in the experimental group(P<0.05).These findings suggest that comprehensive high-quality nursing care during PICC placement guided by ECG positioning technology can effectively enhance the success rate of catheter placement and reduce complications,indicating that this nursing approach is valuable for clinical promotion and application.展开更多
Purpose: Research on clinical application effect of combining very low birth weight newborn (VLBWN) umbilical vein catheterization (UVC) with peripherally inserted central catheter (PICC). Method: 60 cases of VLBWN ch...Purpose: Research on clinical application effect of combining very low birth weight newborn (VLBWN) umbilical vein catheterization (UVC) with peripherally inserted central catheter (PICC). Method: 60 cases of VLBWN checked in our hospital’s ICU are selected and divided into combination group (n = 30) and PICC group (n = 30) according to the random number table. Combination of UVC and PICC is applied on newborn of combination group while only PICC is applied on newborn of PICC group. These two groups’ newborn’s PICC catheterization operation time, PICC indwelling time, weight gain, hospital stays, hospital infection, planned extubation, successful single puncture, adverse events and other indexes are observed. Result: Newborns in combination group have less PICC catheterization operation time and less hospital stays than newborns in PICC group while newborns in combination group have longer PICC indwelling time and greater weight gain than newborns in PICC group. The difference here has statistical significance (p < 0.05). Combination group’s hospital infection ratio (3.33%) is lower than that of PICC group (23.33%). The difference here has statistical significance (p < 0.05). Newborns in combination group have a planned extubation rate of 93.33% and a successful single puncture rate of 93.33%, which are greater than those of newborn in PICC group (respectively 73.33% and 70.00%). The difference here has statistical significance (p < 0.05). Newborns in combination group have an adverse event occurrence rate of 43.33%, lower than that of PICC group (70.00%). The difference here has statistical significance (p < 0.05). Conclusion: Application of combination of UVC and PICC on VLBWN can greatly improve PICC catheterization efficiency and newborn patients’ nutriture and reduce rate of complications, thus, it is worthy of clinical application.展开更多
探讨静疗专科护理干预对经外周静脉穿刺的中心静脉导管(peripherally inserted central venous catheter,PICC)置管患者依从性及并发症的影响。选取2023年3月—2024年3月于南方医科大学南方医院行PICC置管的68例患者为研究对象,采用随...探讨静疗专科护理干预对经外周静脉穿刺的中心静脉导管(peripherally inserted central venous catheter,PICC)置管患者依从性及并发症的影响。选取2023年3月—2024年3月于南方医科大学南方医院行PICC置管的68例患者为研究对象,采用随机数字表法将其分为对照组和观察组,每组各34例。对照组实施常规护理干预,观察组实施静疗专科护理干预,对比分析两组患者的临床依从性、并发症发生情况、心理情绪、生活质量、护理满意度。结果显示,观察组患者的临床依从性、并发症发生率、心理情绪评分、生活质量评分及护理满意度评分均优于对照组(P<0.05)。研究发现,静疗专科护理干预的应用效果明显,可提高PICC置管患者的临床依从性,降低并发症发生风险,促进患者负面情绪缓解,进一步提高其预后生活质量,值得推广。展开更多
目的探究温度干预对早产儿经外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)疼痛及置管效果的影响。方法选取2023年1月至2023年12月于云南省昆明市某三级甲等儿童专科医院新生儿科住院的70例PICC置管且符合纳...目的探究温度干预对早产儿经外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)疼痛及置管效果的影响。方法选取2023年1月至2023年12月于云南省昆明市某三级甲等儿童专科医院新生儿科住院的70例PICC置管且符合纳入标准的早产儿作为研究对象,运用随机数字表法分为对照组(n=35)和观察组(n=35)。对照组按常规PICC置管流程进行;观察组在对照组的基础上实施了温度干预措施,即使用加温至37℃的碘伏消毒、借助辐射台温度温暖操作者双手热敷置管部位、使用加温至37℃的生理盐水配合送管及皮肤清洁。比较两组早产儿PICC置管中消毒、穿刺、送管、清洁时早产儿疼痛评分量表(premature infant pain profile,PIPP)评分、血氧饱和度、心率、一次性穿刺和一次性送管成功率、并发症发生率、置管后低体温发生率。结果观察组在PICC置管中消毒、穿刺、送管、清洁的PIPP评分均低于对照组(P<0.05);置管中观察组血氧饱和度平均值高于对照组,差值低于对照组(P<0.05);置管中观察组心率差值和平均值均低于对照组(P<0.05);观察组PICC置管时一次性穿刺和一次性送管成功率、置管后低体温发生率均低于对照组(P<0.05),两组并发症发生率比较,差异无统计学意义(P>0.05)。结论早产儿PICC置管时实施温度干预可有效减轻患儿疼痛,维持生命体征稳定,提高一次性穿刺和送管成功率,有效预防低体温的发生率。展开更多
目的:探讨针灸对肿瘤患者经外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)后并发症的干预效果,评估其在减轻静脉炎、感染、血栓形成及提高患者生活质量方面的作用。方法:采用随机对照试验设计,纳入200例肿瘤...目的:探讨针灸对肿瘤患者经外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)后并发症的干预效果,评估其在减轻静脉炎、感染、血栓形成及提高患者生活质量方面的作用。方法:采用随机对照试验设计,纳入200例肿瘤患者,分为观察组和对照组。对照组接受PICC置管标准护理,观察组同时给予针灸治疗,每周2~3次,持续6周。观察两组静脉炎、感染、血栓等发生情况,以及疼痛程度和生活质量。结果:观察组的静脉炎发生率、感染发生率、血栓形成发生率、疼痛评分均低于对照组(P<0.05),生活质量评分观察组高于对照组(P<0.05)。结论:针灸干预对肿瘤患者PICC置管后的并发症具有预防和改善作用,能降低静脉炎、感染和血栓形成的发生率,还能缓解疼痛,提高患者的生活质量。展开更多
文摘Objective: to explore the application effect of crisis prevention theory in reducing PICC catheter-related thrombosis in leukemia patients. Methods: 200 patients with leukemia who were admitted to our hospital from January 2018 to December 2019 and met the inclusion criteria were selected as the research objects. Among them, 100 patients with leukemia admitted from January to December 2018 were taken as the control group and received routine nursing intervention. From January to December, 2019, 100 leukemia patients were treated as the experimental group, and the crisis prevention theory was used to manage PICC catheter-related thrombosis and improve the continuous quality of patients. Compare the difference of knowledge, attitude and practice of PICC catheter-related thrombosis prevention and the incidence of PICC catheter-related thrombosis between two groups. Results: after the intervention, the KAP scores of PICC catheter-related thrombosis in the experimental group were significantly higher than those in the control group (P < 0.05). The incidence of PICC catheter-related thrombosis in the experimental group was 0(0.00%) lower than that in the control group (6.0%), and the difference was statistically significant (χ2=4.736, P=0.030). Conclusion: the application of crisis prevention theory in reducing PICC catheter-related thrombosis in leukemia patients can effectively improve the knowledge, belief and behavior of PICC catheter-related thrombosis prevention, reduce the incidence of PICC catheter-related thrombosis and improve the management quality of PICC catheter.
文摘Objective: to explore the nursing effect of avoiding PICC catheter infection in patients with hematological diseases complicated with diabetes. Methods: from January 2021 to January 2022, 102 PICC patients with hematological diseases and diabetes were divided into the management group (predictive nursing) and the reference group (ordinary care), and the nursing effects were compared. Results: compared with the reference group, the indexes of the management group were better (P < 0.05). Conclusion: predictive nursing care for patients with hematological diseases complicated with diabetes can reduce PICC catheter infection, and it is recommended to popularize it.
文摘Objective: to explore the nursing effect of applying PICC in chemotherapy of malignant tumor patients with diabetes. Methods: a total of 50 patients with malignant tumor receiving PICC chemotherapy were randomly selected and studied, among which 12 patients were complicated with diabetes. There were 38 cases without diabetes. The related indexes of the two groups of patients were compared and analyzed. Results: by comparing the local infection rates of the two groups of patients, it was found that among the 12 patients with malignant tumor and diabetes, 6 cases had infection, and the infection rate was 58.33%. Among the 38 patients without tumor, no infection occurred. All-round nursing intervention had achieved good results, and no extubation and treatment were stopped. Comparing the other complications of the two groups of patients, it was found that the complication rate of the patients without diabetes was significantly lower than that of the control group. Conclusion: compared with patients with diabetes mellitus, patients without diabetes mellitus have a lower incidence of infection after catheterization. However, for patients with diabetes mellitus, effective nursing measures can prevent infection.
文摘Objective: to observe the application effect of intravenous therapy nursing group in continuous care of patients discharged from hospital with PICC catheter. Methods: seventy patients with PICC catheter discharged from our hospital from May 2018 to May 2020 were selected as the object, and the patients were randomly divided into two groups by dice method. The control group received conventional continuous care, and the observation group received intravenous therapy nursing intervention. The effects of the two methods on the patients were compared. Results: the number of cases of adverse conditions in the observation group was less than that in the control group, and the difference between groups was significant (P < 0.05). Conclusion: patients discharged with PICC catheterization should carry out continuous nursing according to the nursing group of intravenous therapy, reduce the influence of adverse factors on patients, and prolong the indwelling time.
基金The Ili Kazakh Autonomous Prefecture Science and Technology Plan Project(Project No.:YJC2023A28)。
文摘Objective:Patients after radical gastrectomy often require medium-to long-term intravenous therapy.However,traditional central venous catheters(CVCs)have issues such as high infection risk and poor comfort.This study aims to deeply explore the clinical application value of peripherally inserted central catheters(PICCs)after radical gastrectomy,providing a scientific basis for optimizing intravenous access selection.Methods:Fifty patients requiring catheterization after radical gastrectomy at the Friendship Hospital of Ili Kazak Autonomous Prefecture from December 2022 to May 2024 were selected.Catheterization site selection was based on patients’preferences,dividing them into two groups:the experimental group receiving PICCs and the control group receiving CVCs,with 25 patients in each group.Multi-dimensional comparative analysis was conducted,including catheterization operation time,catheter indwelling time,success rates of first and second catheterizations,and complication rates.Statistical methods such as t-tests and chi-square tests were used for in-depth analysis.Results:Compared to the control group,the experimental group had longer catheterization operations and catheter indwelling times,and a higher success rate of first catheterization(P<0.05).The incidence of catheterization complications in the experimental group was 12.00%,lower than the 40.00%in the control group(P<0.05).Conclusion:Although PICC catheterization after radical gastrectomy has relatively longer catheterization operation and indwelling times,it has a high success rate of first catheterization and a low complication rate,demonstrating high clinical application value and worth promoting in clinical practice.
文摘Objective: to study the clinical effect of cluster management to prevent complications in patients with multiple myeloma after PICC catheterization. Methods: fifty-eight PICC patients with multiple myeloma admitted to our hospital from January 2021 to January 2022 participated in this study, and they were divided into study group and reference group by means of average distribution. Patients in the reference group were given routine nursing mode, and patients in the study group were intervened by cluster management. The quality of life, the use effect of PICC catheter, the probability of complications and the utilization rate of PICC catheter were compared between the two groups. Results: compared with the reference group, the patients in the study group had a longer catheter life cycle (P < 0.05), a shorter hospital stay (P < 0.05), a higher catheter utilization rate (P < 0.05) and a lower complication rate (P < 0.05). After the intervention, the social adaptability, psychological function and physiological function of the patients in the two groups were improved, compared with those before the intervention. The effect of cluster management in the study group was more obvious than that of routine nursing in the reference group (P < 0.05). Conclusion: the application of cluster management mode in the intervention of PICC patients with multiple myeloma can effectively improve the quality of life of patients, improve the use of catheters, and avoid catheter-related complications, which can be widely popularized in clinic.
文摘This study aimed to explore an effective nursing plan for peripherally inserted central catheter(PICC)placement guided by endocardial electrocardiogram(ECG)positioning technology and to analyze related nursing problems and countermeasures.A total of 96 patients who underwent PICC placement using ECG-guided positioning technology in our hospital from January 2024 to December 2024 were selected and randomly divided into an experimental group(n=48)and a control group(n=48)using a random number table.The control group received routine basic nursing care,while the experimental group was provided with comprehensive high-quality nursing care.The results showed that the success rate of one-time catheter placement was significantly higher in the experimental group than in the control group(P<0.05),while the incidence of complications was notably lower in the experimental group(P<0.05).These findings suggest that comprehensive high-quality nursing care during PICC placement guided by ECG positioning technology can effectively enhance the success rate of catheter placement and reduce complications,indicating that this nursing approach is valuable for clinical promotion and application.
文摘Purpose: Research on clinical application effect of combining very low birth weight newborn (VLBWN) umbilical vein catheterization (UVC) with peripherally inserted central catheter (PICC). Method: 60 cases of VLBWN checked in our hospital’s ICU are selected and divided into combination group (n = 30) and PICC group (n = 30) according to the random number table. Combination of UVC and PICC is applied on newborn of combination group while only PICC is applied on newborn of PICC group. These two groups’ newborn’s PICC catheterization operation time, PICC indwelling time, weight gain, hospital stays, hospital infection, planned extubation, successful single puncture, adverse events and other indexes are observed. Result: Newborns in combination group have less PICC catheterization operation time and less hospital stays than newborns in PICC group while newborns in combination group have longer PICC indwelling time and greater weight gain than newborns in PICC group. The difference here has statistical significance (p < 0.05). Combination group’s hospital infection ratio (3.33%) is lower than that of PICC group (23.33%). The difference here has statistical significance (p < 0.05). Newborns in combination group have a planned extubation rate of 93.33% and a successful single puncture rate of 93.33%, which are greater than those of newborn in PICC group (respectively 73.33% and 70.00%). The difference here has statistical significance (p < 0.05). Newborns in combination group have an adverse event occurrence rate of 43.33%, lower than that of PICC group (70.00%). The difference here has statistical significance (p < 0.05). Conclusion: Application of combination of UVC and PICC on VLBWN can greatly improve PICC catheterization efficiency and newborn patients’ nutriture and reduce rate of complications, thus, it is worthy of clinical application.
文摘探讨静疗专科护理干预对经外周静脉穿刺的中心静脉导管(peripherally inserted central venous catheter,PICC)置管患者依从性及并发症的影响。选取2023年3月—2024年3月于南方医科大学南方医院行PICC置管的68例患者为研究对象,采用随机数字表法将其分为对照组和观察组,每组各34例。对照组实施常规护理干预,观察组实施静疗专科护理干预,对比分析两组患者的临床依从性、并发症发生情况、心理情绪、生活质量、护理满意度。结果显示,观察组患者的临床依从性、并发症发生率、心理情绪评分、生活质量评分及护理满意度评分均优于对照组(P<0.05)。研究发现,静疗专科护理干预的应用效果明显,可提高PICC置管患者的临床依从性,降低并发症发生风险,促进患者负面情绪缓解,进一步提高其预后生活质量,值得推广。
文摘目的:探讨针灸对肿瘤患者经外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)后并发症的干预效果,评估其在减轻静脉炎、感染、血栓形成及提高患者生活质量方面的作用。方法:采用随机对照试验设计,纳入200例肿瘤患者,分为观察组和对照组。对照组接受PICC置管标准护理,观察组同时给予针灸治疗,每周2~3次,持续6周。观察两组静脉炎、感染、血栓等发生情况,以及疼痛程度和生活质量。结果:观察组的静脉炎发生率、感染发生率、血栓形成发生率、疼痛评分均低于对照组(P<0.05),生活质量评分观察组高于对照组(P<0.05)。结论:针灸干预对肿瘤患者PICC置管后的并发症具有预防和改善作用,能降低静脉炎、感染和血栓形成的发生率,还能缓解疼痛,提高患者的生活质量。
