PICC围置管期全程健康教育在鼻咽癌患者中的应用

摘要

目的：探讨外周中心静脉置管(PICC)围置管期全程健康教育在鼻咽癌患者同期放化疗及辅助化疗中的意义。方法：选取2011年7月-2012年7月符合入组条件的患者182例，采用PICC进行静脉化疗，并进行置管前、中、后及出院后全程健康教育，统计PICC常见并发症的发生率，如机械性静脉炎、导管相关血栓、导管相关感染、穿刺口渗液、导管阻塞、脱出等。结果：住院期间，机械性静脉炎发生率为6.04%，导管相关血栓发生率为1.10%，导管相关感染发生率为2.20%，穿刺口渗液发生率为0.55%，无导管阻塞和脱出；治疗间歇期，无机械性静脉炎、血栓、感染等常见并发症发生。结论：加强肿瘤患者留置PICC的全程健康教育，不仅可满足患者的需求，还能有效地提高护理服务质量。%Objective:To explore the effects of health education of peripheral central venous catheter (PICC) in whole range treatment of patients with nasopharyngeal carcinoma patients during the period of concurrent chemoradiotherapy and adjuvant chemotherapy.Method:182 patients who fulfilled the inclusion were assigned to receive chemotherapy through PICC from July 2011 to July 2012.During the whole range treatment of patients,health education about PICC was carried out.During the hospital,calculating the incidence of PICC common complications,such as mechanical phlebitis,catheter related thrombosis,catheter related infections,puncture mouth seepage,duct obstruction,emerge,etc.Result:The incidence rate of mechanical phlebitis,catheter related thrombosis, catheter related infections were 6.04%,1.10%,2.20%,0.55%and no catheter obstruction and emerge.In the intermittent period of treatment,no common complications,for example mechanical phlebitis,blood clots and infection.Conclusion:For nasopharyngeal carcinoma patients,health education of PICC in whole period of treatment can not only fulfil the need of them,but also improve quality of service.