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
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
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
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
Objective:To analyze the effects of continuous self-management education on the selfcare ability and health behavior of patients with tumor through peripherally inserted central venous catheters(PICC).Methods:The peri...Objective:To analyze the effects of continuous self-management education on the selfcare ability and health behavior of patients with tumor through peripherally inserted central venous catheters(PICC).Methods:The period from August 2018 to August 2020 was used as the research time range,and the random number table method was used as the basis for grouping.80 patients with malignant tumors who regularly performed fixed catheter maintenance care in the PICC clinic of our hospital were admitted in the experimental group(given PICC specialist nursing,and implemented continuous self-management education),and 80 patients with PICC tube malignant tumors discharged from the superior hospital during this time range served as the control group(return to the original catheterization hospital from time to time or perform catheter maintenance care in the nursing clinic of our hospital).The self-care ability scores,health behavior scores,and complications during intubation between both groups were analyzed.Results:(1)There was no significant difference in self-care ability score and healthy behavior score between groups before the intervention,P>0.05;the self-care ability score and health behavior score of the research group were better than the control group after intervention,P<0.05;(2)After investigation,the incidence of complications in the research group(2.50%)was lower than that of the control group(10.00%),but there was no difference between the groups,P>0.05.Conclusion:Continuous self-management education has good effects on improving the self-care ability of tumor patients with PICC intubation.It can urge patients to maintain good health behaviors and reduce complications.It is worthy of promotion.展开更多
Objective: to observe the effect of PICC catheterization for thoracic tumor patients. Methods: 104 patients with tumors in our department from March 2018 to December 2020 were taken as observation objects, and were di...Objective: to observe the effect of PICC catheterization for thoracic tumor patients. Methods: 104 patients with tumors in our department from March 2018 to December 2020 were taken as observation objects, and were divided into the experimental group and the conventional group, which were treated with PICC catheter and venous indwelling needle respectively. The therapeutic effects of the two groups were compared. Results: (1) the total incidence of local infection, phlebitis and drug extravasation between the experimental group and the conventional group was 5.76% and 26.92% respectively in the experimental group and the conventional group (χ2 = 13.279, P = 0.000). The results were different. (2) Compared with the conventional group, the satisfaction score of the experimental group was 91.35±10.83 (points) and that of the conventional group was 80.69±9.17 (points), (t = 7.673, P = 0.000), and the results were different. Conclusion: the effect of PICC is good for thoracic surgery tumor patients, and this method can be popularized.展开更多
We aimed to study the appropriate posture of peripherally inserted central catheter （PICC） patients, to reduce the incidence of internal jugular vein heterotopia. Methods： From 2009 to 2013, a total of 290 cases wi...We aimed to study the appropriate posture of peripherally inserted central catheter （PICC） patients, to reduce the incidence of internal jugular vein heterotopia. Methods： From 2009 to 2013, a total of 290 cases with PICC were enrolled in our study. They were divided into two groups. The patients in control group took regular position, which mean pros- tration, upper limb of tube side was abduction 90°, head moved to puncture side in order to block the internal jugular vein. On the basis of conventional body position putting, posture of patients in observation group was improved, the head remain neutral, and had 180° angle with trunk longitudinal axis, not favor any side. After ensuring the upper limb abduction, had 90° angle with the trunk, then catheter was inserted slowly. The jugular venous catheter heterotopia rate was judged by X.ray results. Results： The jugular venous catheter heterotopia rate of control group and observation was 12.8% and 0.68%, respectively. The difference between two groups was statistically significant （P 〈 0.01）. Conclusion： The body posture improvement can prevent discomfort of patients and reduce the jugular venous catheter heterotopia rate of PICC.展开更多
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 value of multi-dimensional continuous care in the treatment of lung cancer patients receiving PICC chemotherapy. Methods: A total of 80 cases of lung cancer patients receiving PICC chemothera...Objective: To explore the value of multi-dimensional continuous care in the treatment of lung cancer patients receiving PICC chemotherapy. Methods: A total of 80 cases of lung cancer patients receiving PICC chemotherapy in our department from February 2020 to January 2021 were randomly divided into observation group (n40) and control group (n40). The patients received routine nursing care. The infection rate, nursing satisfaction rate and nursing quality were compared. Results The nursing satisfaction degree was higher in the observation group than in the control group (P 0.05). The infection rate was higher in the control group than in the control group (P 0.05). The nursing quality was higher in the observation group than that in the control group (P 0.05). Conclusion: Multi-dimensional continuous care applied to PICC chemotherapy for lung cancer can reduce the infection rate of PICC, improve the survival treatment of patients, ensure the curative effect, and the effect is significant.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 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
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
目的对经外周置入中心静脉导管(peripherally inserted central catheter,PICC)置管、维护及拔管的单项操作成本进行核算,为制定合理的操作收费价格提供依据。方法通过横断面调查,采用项目成本阶梯分摊法,于2019年1—5月在复旦大学附属...目的对经外周置入中心静脉导管(peripherally inserted central catheter,PICC)置管、维护及拔管的单项操作成本进行核算,为制定合理的操作收费价格提供依据。方法通过横断面调查,采用项目成本阶梯分摊法,于2019年1—5月在复旦大学附属肿瘤医院血管通路门诊测算PICC各单项操作人力成本、设备折旧费及未单独计价材料费,测算直接成本,并通过分摊测算间接成本,最后测算PICC置管、维护及拔管的单项操作成本。结果PICC置管、维护及拔管的各单项操作实际成本分别为(157.03±4.73)元、(33.66±3.04)元、(32.38±3.11)元,与上海市医疗机构对PICC各项操作的收费标准(分别为150元、30元、30元)基本相符。结论建议将PICC维护及拔管的操作收费纳入收费标准中,促进PICC输液技术的可持续发展并确保护理服务的持续供给。展开更多
目的探讨5F鞘组在经外周静脉穿刺置入中心静脉导管(peripherally inserted central catheter,PICC)中临床应用的效果。方法回顾性分析并总结2012年12月至2013年2月哈尔滨医科大学附属第一医院收治的应用5F鞘组10例行PICC患者的临床资料...目的探讨5F鞘组在经外周静脉穿刺置入中心静脉导管(peripherally inserted central catheter,PICC)中临床应用的效果。方法回顾性分析并总结2012年12月至2013年2月哈尔滨医科大学附属第一医院收治的应用5F鞘组10例行PICC患者的临床资料。结果 10例患者均顺利完成PICC,有2例患者术后出现静脉炎,其余患者均未发生严重的并发症。结论静脉穿刺条件差的患者应用5F鞘组行PICC导管有利于提高置管成功率。展开更多
Background:Little is known about the association between venous thromboembolism(VTE)and tumors.In this study,we identified the clinical features of patients with liver cancer who presented with at least 1 VTE episode....Background:Little is known about the association between venous thromboembolism(VTE)and tumors.In this study,we identified the clinical features of patients with liver cancer who presented with at least 1 VTE episode.Methods:This was a retrospective case-control study of a single-institution database with univariate and multivariate analyses usingχ^(2)and Fisher exact tests.Statistical significance was set at P<0.05.Results:The overall incidence of VTE in the patients with liver cancer was 1.2%.More than half(53.8%)of the 13 patients with liver cancer and venous thrombosis died within 2 months.The thrombus in 12 patients(92.3%)was located within the deep veins,whereas the other patient(7.7%)was diagnosed with a pulmonary embolism.Of the 11 patients,9(69.2%)had swelling and/or pain symptoms.All 6 patients with peripherally inserted central catheters(PICCs)had thrombosis,accounting for 46.2%of all patients with liver cancer and venous thrombosis.Compared with the controls,liver cancer patients with PICC tubes,thrombosis-related symptoms such as swelling and pain,traumatic stimulation such as fracture,acute respiratory distress syndrome,and interventional therapy or hemostasis drugs were prone to be diagnosed with VTE(P<0.05).Conclusions:Liver cancer and thrombosis are rare and have poor prognoses.Liver cancer with thrombosis may be associated with PICC catheterization,traumatic stimulation,or hemostatic drugs.Patients with liver cancer and thrombosis often present with swelling and pain.展开更多
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.
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Objective:To analyze the effects of continuous self-management education on the selfcare ability and health behavior of patients with tumor through peripherally inserted central venous catheters(PICC).Methods:The period from August 2018 to August 2020 was used as the research time range,and the random number table method was used as the basis for grouping.80 patients with malignant tumors who regularly performed fixed catheter maintenance care in the PICC clinic of our hospital were admitted in the experimental group(given PICC specialist nursing,and implemented continuous self-management education),and 80 patients with PICC tube malignant tumors discharged from the superior hospital during this time range served as the control group(return to the original catheterization hospital from time to time or perform catheter maintenance care in the nursing clinic of our hospital).The self-care ability scores,health behavior scores,and complications during intubation between both groups were analyzed.Results:(1)There was no significant difference in self-care ability score and healthy behavior score between groups before the intervention,P>0.05;the self-care ability score and health behavior score of the research group were better than the control group after intervention,P<0.05;(2)After investigation,the incidence of complications in the research group(2.50%)was lower than that of the control group(10.00%),but there was no difference between the groups,P>0.05.Conclusion:Continuous self-management education has good effects on improving the self-care ability of tumor patients with PICC intubation.It can urge patients to maintain good health behaviors and reduce complications.It is worthy of promotion.
文摘Objective: to observe the effect of PICC catheterization for thoracic tumor patients. Methods: 104 patients with tumors in our department from March 2018 to December 2020 were taken as observation objects, and were divided into the experimental group and the conventional group, which were treated with PICC catheter and venous indwelling needle respectively. The therapeutic effects of the two groups were compared. Results: (1) the total incidence of local infection, phlebitis and drug extravasation between the experimental group and the conventional group was 5.76% and 26.92% respectively in the experimental group and the conventional group (χ2 = 13.279, P = 0.000). The results were different. (2) Compared with the conventional group, the satisfaction score of the experimental group was 91.35±10.83 (points) and that of the conventional group was 80.69±9.17 (points), (t = 7.673, P = 0.000), and the results were different. Conclusion: the effect of PICC is good for thoracic surgery tumor patients, and this method can be popularized.
文摘We aimed to study the appropriate posture of peripherally inserted central catheter （PICC） patients, to reduce the incidence of internal jugular vein heterotopia. Methods： From 2009 to 2013, a total of 290 cases with PICC were enrolled in our study. They were divided into two groups. The patients in control group took regular position, which mean pros- tration, upper limb of tube side was abduction 90°, head moved to puncture side in order to block the internal jugular vein. On the basis of conventional body position putting, posture of patients in observation group was improved, the head remain neutral, and had 180° angle with trunk longitudinal axis, not favor any side. After ensuring the upper limb abduction, had 90° angle with the trunk, then catheter was inserted slowly. The jugular venous catheter heterotopia rate was judged by X.ray results. Results： The jugular venous catheter heterotopia rate of control group and observation was 12.8% and 0.68%, respectively. The difference between two groups was statistically significant （P 〈 0.01）. Conclusion： The body posture improvement can prevent discomfort of patients and reduce the jugular venous catheter heterotopia rate of PICC.
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 value of multi-dimensional continuous care in the treatment of lung cancer patients receiving PICC chemotherapy. Methods: A total of 80 cases of lung cancer patients receiving PICC chemotherapy in our department from February 2020 to January 2021 were randomly divided into observation group (n40) and control group (n40). The patients received routine nursing care. The infection rate, nursing satisfaction rate and nursing quality were compared. Results The nursing satisfaction degree was higher in the observation group than in the control group (P 0.05). The infection rate was higher in the control group than in the control group (P 0.05). The nursing quality was higher in the observation group than that in the control group (P 0.05). Conclusion: Multi-dimensional continuous care applied to PICC chemotherapy for lung cancer can reduce the infection rate of PICC, improve the survival treatment of patients, ensure the curative effect, and the effect is significant.
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 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.
文摘目的对经外周置入中心静脉导管(peripherally inserted central catheter,PICC)置管、维护及拔管的单项操作成本进行核算,为制定合理的操作收费价格提供依据。方法通过横断面调查,采用项目成本阶梯分摊法,于2019年1—5月在复旦大学附属肿瘤医院血管通路门诊测算PICC各单项操作人力成本、设备折旧费及未单独计价材料费,测算直接成本,并通过分摊测算间接成本,最后测算PICC置管、维护及拔管的单项操作成本。结果PICC置管、维护及拔管的各单项操作实际成本分别为(157.03±4.73)元、(33.66±3.04)元、(32.38±3.11)元,与上海市医疗机构对PICC各项操作的收费标准(分别为150元、30元、30元)基本相符。结论建议将PICC维护及拔管的操作收费纳入收费标准中,促进PICC输液技术的可持续发展并确保护理服务的持续供给。
文摘目的探讨5F鞘组在经外周静脉穿刺置入中心静脉导管(peripherally inserted central catheter,PICC)中临床应用的效果。方法回顾性分析并总结2012年12月至2013年2月哈尔滨医科大学附属第一医院收治的应用5F鞘组10例行PICC患者的临床资料。结果 10例患者均顺利完成PICC,有2例患者术后出现静脉炎,其余患者均未发生严重的并发症。结论静脉穿刺条件差的患者应用5F鞘组行PICC导管有利于提高置管成功率。
基金approved by the Ethics Committee of Union Hospital,Huazhong University of Science and Technology,China(No.S810).
文摘Background:Little is known about the association between venous thromboembolism(VTE)and tumors.In this study,we identified the clinical features of patients with liver cancer who presented with at least 1 VTE episode.Methods:This was a retrospective case-control study of a single-institution database with univariate and multivariate analyses usingχ^(2)and Fisher exact tests.Statistical significance was set at P<0.05.Results:The overall incidence of VTE in the patients with liver cancer was 1.2%.More than half(53.8%)of the 13 patients with liver cancer and venous thrombosis died within 2 months.The thrombus in 12 patients(92.3%)was located within the deep veins,whereas the other patient(7.7%)was diagnosed with a pulmonary embolism.Of the 11 patients,9(69.2%)had swelling and/or pain symptoms.All 6 patients with peripherally inserted central catheters(PICCs)had thrombosis,accounting for 46.2%of all patients with liver cancer and venous thrombosis.Compared with the controls,liver cancer patients with PICC tubes,thrombosis-related symptoms such as swelling and pain,traumatic stimulation such as fracture,acute respiratory distress syndrome,and interventional therapy or hemostasis drugs were prone to be diagnosed with VTE(P<0.05).Conclusions:Liver cancer and thrombosis are rare and have poor prognoses.Liver cancer with thrombosis may be associated with PICC catheterization,traumatic stimulation,or hemostatic drugs.Patients with liver cancer and thrombosis often present with swelling and pain.
