Preventive nursing improves the effect of venous thrombosis after PICC catheterizationin patients with hematologic tumors
预防性护理改善血液系统肿瘤患者PICC置管术后静脉血栓形成的效果

摘要

目的 分析预防性护理用于血液系统肿瘤病人PICC置管术中对降低静脉血栓发生率的作用。方法对2022年1月-2023年1月本科接诊血液系统肿瘤PICC置管病人（n=300）进行随机分组，试验组和对照组各150人，前者采取预防性护理，后者行常规护理。对比静脉血栓发生率等指标。结果 对于静脉血栓，试验组发生率2.0%，和对照组数据16.67%相比更低（P＜0.05）。关于护理质量这个指标：试验组数据（98.57±0.65）分，和对照组数据（91.68±1.78）分相比更高（P＜0.05）。关于满意度这个指标：试验组数据98.0%，和对照组数据80.67%相比更高（P＜0.05）。关于sf-36评分：干预结束时，试验组数据（86.51±3.14）分，和对照组数据（79.39±4.25）分相比更高（P＜0.05）。结论 血液系统肿瘤PICC置管术用预防性护理，病人的预后更好，静脉血栓发生率更低，护理质量改善更加明显，满意度提升也更为迅速。

Abstract

Objective To analyze the effect of preventive nursing on reducing the incidence of venous thrombosis in patients with hematological tumors during PICC catheterization.
Methods The patients (n=300) with PICC catheterization for hematologic tumors were randomly divided into 150 patients in the experiment and 150 patients in the control group from January 2022 to January 2023. The former received preventive nursing while the latter received routine nursing. The incidence of venous thrombosis and other indicators were compared.
Results The incidence of venous thrombosis in the experimental group was 2.0%, which was lower than that in the control group (16.67%) (P < 0.05). As for the quality of care, the experimental group score (98.57±0.65) was higher than that of the control group (91.68±1.78) (P < 0.05). As for the satisfaction index, the data of the experimental group was 98.0%, which was higher than that of the control group, 80.67% (P < 0.05). sf-36 scores: At the end of the intervention, the experimental group (86.51±3.14) score was higher than the control group (79.39±4.25) score (P < 0.05).
Conclusion   Prophylactic nursing with PICC catheterization for hematologic tumors has better prognosis, lower incidence of venous thrombosis, more obvious improvement in nursing quality, and more rapid improvement in satisfaction.