期刊目次

加入编委

期刊订阅

添加您的邮件地址以接收即将发行期刊数据:

Open Access Article

Contemporary Nursing. 2023; 4: (7) ; 59-62 ; DOI: 10.12208/j.cn.20230331.

Effect of whole course management mode on complications related to implantable arm infusion portand patients' quality of life in chemotherapy patients
全程管理模式对化疗患者植入式手臂输液港相关并发症及患者生活质量的影响

作者: 房传荣 *

江苏省中医院 江苏南京

*通讯作者: 房传荣,单位:江苏省中医院 江苏南京;

发布时间: 2023-07-07 总浏览量: 156

摘要

目的 探讨全程管理模式对化疗患者植入式手臂输液港相关并发症及患者生活质量的影响。方法 选择2021年1月至2021年12月采用植入式手臂输液港进行化疗的60例患者为研究对象,随机数字表法分为对照组与观察组各30例,对照组采用常规护理管理模式,观察组在对照组基础上实施全程管理模式,对两组患者相关并发症及生活质量进行比较。结果 观察组切口感染、血栓、腋网综合征、回抽障碍、切口裂开等发生率为3.33%,较对照组20.00%低(P<0.05);两组管理前的生活质量评分(SF-36)无明显差异(P>0.05),观察组管理后SF-36评分明显较对照组高(P<0.05)。结论 全程管理模式可减少化疗患者植入式手臂输液港相关并发症发生,也能提高患者的生活质量,值得推广。

关键词: 全程管理模式;化疗;植入式手臂输液港;生活质量

Abstract

Objective To investigate the effect of whole course management mode on complications related to implantable arm infusion port and patients' quality of life in chemotherapy patients.
Methods A total of 60 patients from January 2021 to December 2021 who received chemotherapy at the implantable arm infusion port were selected as the study objects, and were randomly divided into control group and observation group with 30 cases each. The control group adopted routine nursing management mode, and the observation group implemented whole-course management mode on the basis of the control group. The related complications and quality of life of the two groups of patients were compared.
Results The incidence of incision infection, thrombosis, axillary reticulum syndrome, withdrawal obstruction and incision dehysis in the observation group was 3.33%, which was lower than that in the control group (20.00%) (P < 0.05). There was no significant difference in the quality of life score (SF-36) between the two groups before management (P > 0.05), and the SF-36 score of the observation group after management was significantly higher than that of the control group (P < 0.05).
Conclusion   The whole-course management model can reduce the incidence of complications related to implantable arm infusion port in chemotherapy patients, and can also improve the quality of life of patients, so it is worth promoting.

Key words: Whole-process management mode; Chemotherapy; Implantable arm infusion port; Quality of life

参考文献 References

[1] 王圆媛. 风险管理对植入式静脉输液港化疗患者并发症发生率的影响[J]. 临床合理用药杂志, 2018, 11(5): 130 -131.

[2] 路萍. 护理风险管理对完全植入式静脉输液港年轻宫颈癌化疗患者生活质量及护理工作满意度的影响[J]. 黑龙江医药科学,2019,42(4):179-180. 

[3] 韦田福,李泞君,曾健,等. 全程管理模式在乳腺癌植入式静脉输液港患者中的应用实践[J]. 当代护士(下旬刊),2019,26(10):57-59.

[4] 黎蓓. PDCA管理模式对肝胆胰外科患者植入式静脉输液港并发症的影响[J]. 实用临床护理学电子杂志,2017,2(23):66,68. 

[5] 倪玉丹,陈玉红,梁伟,等. 基于4R危机理论的护理管理模式对肿瘤化疗患者植入式静脉输液港不良反应的影响[J]. 长春中医药大学学报,2020,36(6):1325-1327. 

[6] 许容芳,陆勤美,黄胜,等. 全程管理模式对肿瘤患者PICC置管并发症的影响[J]. 中华现代护理杂志,2015,15(9):1024-1026,1027.

[7] 丁琴,李玲,翟迎春. 植入式手臂静脉输液港在血液病化疗患者中的应用及管理[J]. 实用临床护理学电子杂志,2020,5(38):157,174.

[8] 仇晓霞,金光鑫,郭艳,张学彬.手臂和呼吸运动对上臂完全植入式输液港导管尖端位置的影响[J].介入放射学杂志,2022,31(12):1155-1159.

[9] 董蕾,张莹,关晨阳,郭辰,张明智.腔内3CG定位技术在肿瘤患者手臂输液港尖端定位中的应用[J].护理学报,2022,29(23):75-78.

[10] 赵玉桃,黄丽,任震晴,成雪芹.乳腺癌植入手臂输液港患者知信行现状的质性研究[J].实用临床医药杂志,2022,26(21):103-106.

[11] 何晶,赵焕焕,苏燕利,回天力,齐义新.手臂输液港应用安全核查表可行性研究[J].中国实用外科杂志,2022,42(11): 1300 -1304.

[12] 李金花,陈婕君,李星凤,李旭英,袁忠,雷静,肖羽乔,于娣华.心腔内电图定位技术标准化流程在乳腺癌患者手臂输液港植入中的应用[J].中国护理管理,2022,22(04): 490-495.

[13] 仇晓霞,金光鑫,郭艳,张学彬. 手臂及呼吸运动对上臂完全植入式输液港导管尖端位置影响[C]//.第五届上海国际护理大会论文摘要汇编(上).,2022:199.

[14] 富静,梁妙丽,张聪美.导丝引导送管法在手臂输液港置管困难中的应用体会[J].护理与康复,2022,21(07):70-71.

[15] 郭小玲,邱亚萍,谢梦珊,王燕.植入式手臂输液港和胸壁输液港在肺癌化疗患者中的应用比较[J].实用临床医学,2022,23(03):86-89.

引用本文

房传荣, 全程管理模式对化疗患者植入式手臂输液港相关并发症及患者生活质量的影响[J]. 当代护理, 2023; 4: (7) : 59-62.