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肿瘤化疗患者应用植入式静脉输液港发生堵塞的原因与防护对策 被引量:11

Causes and protective countermeasures of catheter blockage in patients with tumor chemotherapy treated by venous port access
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摘要 目的调查植入式静脉输液港(VPA)应用在肿瘤化疗患者中导管堵塞发生的原因,根据其发生因素给予相应的防护对策。方法选取2016年6月至2019年6月本院收治的肿瘤化疗患者230例作为研究对象,采用问卷调查收集患者一般资料,采用多因素logistic回归分析法确定肿瘤化疗患者应用VPA发生导管堵塞的危险因素。结果230例患者中发生导管堵塞35例,发生率为15.22%。经多因素logistic回归分析显示,应用TPN、导管留置时间>30 d、未按期维护导管等为导致导管堵塞发生的危险因素。结论明确肿瘤化疗患者应用VPA导管堵塞发生的危险因素,为临床护理干预提供重要依据,从而降低堵塞发生率,提高治疗效果。 Objective To investigate the the causes of catheter blockage in patients with tumor chemotherapy treated by venous port access(VPA)and give corresponding protective countermeasures according to the factors.Methods To select 230 cases of patients undergoing tumor chemotherapy who were admitted to our hospital from June 2016 to June 2019 as the study objects.The questionnaires were used to collect patients'general data.Multi-factor logistic regression analysis was used to determine the risk factors of catheter blockage caused by VAP in patients undergoing chemotherapy.Results In the 230 cases of patients,35 cases had catheter blockage,and the incidence rate was 15.22%.Multivariate logistic regression analysis showed that the application of TPN,catheter indwelling time>30 d,failure to maintain the catheter regularly,etc.were the risk factors leading to catheter blockage.Conclusion Identifying the risk factors of catheter blockage caused by VAP in patients undergoing tumor chemotherapy,which provided an important basis for clinical nursing intervention,thereby reducing the incidence rate of blockage,and improve the curative effect.
作者 杨婷婷 张春花 苏爱江 周静 YANG Ting-ting;ZHANG Chun-hua;SU Ai-jiang;ZHOU Jing
出处 《护理实践与研究》 2020年第10期137-138,共2页 Nursing Practice and Research
关键词 肿瘤 化学治疗 植入式静脉输液港 导管堵塞 Tumor Chemotherapy Venous port auess Catheter obstruction
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