|
|
Application of multidisciplinary team in the management of cancer chemotherapy patients with peripherally inserted central catheter |
LIN Xi1 JIANG Hu1 JIANG Ying2 FU Jianhong3 PU Hengping4 |
1.School of Nursing, Zunyi Medical College, Guizhou Province, Zunyi 563000, China;
2.Department of Breast Surgery, the First People's Hospital of Huichuan District in Zunyi City, Guizhou Province, Zunyi 563002,China;
3. Department of Nursing, the First People's Hospital of Huichuan District in Zunyi City, Guizhou Province, Zunyi 563002,China;
4.Dean's Office, the First People's Hospital of Huichuan District in Zunyi City, Guizhou Province, Zunyi 563002,China |
|
|
Abstract Objective To study the effect of multidisciplinary team in cancer chemotherapy patients with peripherally inserted central catheter (PICC) management. Methods 82 cases of cancer patients who were carried out PICC in the First People's Hospital of Zunyi from January to September 2015 were selected as control group, while 110 cases of cancer patients with PICC catheter from October 2015 to June 2016 were selected as observation group. The control group received routine nursing care according to PICC nursing standard; while the observation group carried out multidisciplinary team management model based on the routine nursing. The success rate of puncture one-time, the catheter indwelling time, the incidence rate of complications, and patient satisfaction were compared between the two groups. Results Compared with the control group, the success rate of PICC one-time puncture was increased in the observation group (P < 0.05); catheter indwelling time extended (P < 0.05); in catheter-related complications, puncture point infection, mechanical phlebitis, and the occurrence of tube plugging reduced (P < 0.05); the satisfaction of patients improved (P < 0.01). Conclusion Multidisciplinary team management model can improve the PICC one-time successful puncture rate, satisfaction of patients and reduce the occurrence of catheter-related complications, which provide practice experience for improving PICC nursing quality and promoting intravenous therapy professional development.
|
|
|
|
|
[1] 周娟,孙艳.县级医院PICC延续护理方案的建立和效果评价[J].护理管理杂志,2016,16(6):445-447.
[2] Li ZZ,Chen LZ. Comparison of ultrasound-guided modified Seldinger techni-que versus blind puncture for peripherally inserted central catheter:a meta-analysis of randomized controlled trials [J]. Critical Care,2015,19(1):64-65.
[3] 黄小妹,陈春梅,吴宏,等.延续性护理干预在PICC置管患者中的应用[J].中西医结合护理,2016,2(7):56-59.
[4] 狄建忠,李琨,任庆贵,等.多学科团队诊疗模式在临床应用的研究进展[J].中国医院,2016,20(1):79-80.
[5] 杨艳,赵琨,吕娅,等.多学科协作模式在老年糖尿病患者护理中的应用[J].医学研究生学报,2016,29(12):1318-1320.
[6] 是俊凤,陆秉,潘晨麟,等.依托学科群建设构建多学科协作诊疗模式的实践与思考[J].中国医院,2016,20(7):3-5.
[7] 何丹萍,王秀珍.多学科团队协作护理模式在食管癌手术患者中的应用效果[J].中国医药导报,2016,13(4):175-177.
[8] Curto GN,García SJ,Callejas CM,et al. A team-based mu-ltidisciplinary approach to managing peripherally inserted central catheter complications in high-risk haematological patients:a prospective study [J]. Support Care Cancer,2016, 24(1):93-101.
[9] Prades J,Remue E,Hoof E,et al. Is it worth reorganising cancer serviceson the basis of multidisciplinary teams (MDTs)?A systematic review of theobjectives and orga?鄄nisation of MDTs and their impact on patient outcomes [J]. Health Policy,2015,119(4):464-474.
[10] Gorski L,Hadawav L,Hagle ME,et al. Infusion therapy standards of practice [J]. J Infus Nurs,2016,39(suppl 1):S1-S159.
[11] 国家卫生和计划生育委员会.静脉治疗护理技术操作规范[J].中国护理管理,2014,14(1):1-4.
[12] 陈明霞.PICC置管术后机械性静脉炎的原因分析及预防护理[J].中国社区医师,2017,33(2):152-153.
[13] 束寒玲,戴文君,张小华,等.电话回访在肿瘤患者PICC置管延续护理中的应用效果[J].中国护理管理,2016, 16(4):535-539.
[14] Miller DL,O'Grady NP. Society of Interventional Radiology.Guidelines for the prevention of intravascular catheter-related infections:recommendations Relevant to interv?鄄entional radiology for venous catheter placement and maintenance [J]. J Vasc Inter V Radiol,2012,23(8):997-1007.
[15] Ast D,Ast T. Nonthrombotic complications related to central vascular access devices [J]. J Infus Nurs,2014,37(5):349-358.
[16] 刘芳,邱丽文,方少梅.医生、护士、患者对PICC专项护理服务的满意度调查分析[J].护理管理杂志,2012,12(4):259-260.
[17] 吴婉英,杨方英,高利琴,等.肿瘤患者静脉通路疑难问题院内护理会诊实践分析[J].护理学报,2016,23(9):60-62.
[18] Lisova K,Paulinova V,Zemanova K,et al. Experiences of the first PICC team in the Czech Republic [J]. British J Nurs,2015,24(2):S4,S6,S10.
[19] 陈莉莉,赵毅军,张小栋,等.某医院肿瘤住院病人满意度调查[J].甘肃医药,2016,35(7):502-504.
[20] 孙红.静脉治疗护理实践研究进展[J].中国护理管理,2016,16(6):723-728.
[21] 杨玄,王玉玲,白秀丽,等.新医改形势下中医护理专业化发展面临的机遇与挑战[J].护理管理杂志,2016,16(8):542-544,552.
[22] 史朝晖,孙俊聪,刘大晗,等.多学科工作团队模式提高肿瘤学研究生临床思维能力的探讨[J].中国高等医学教育,2013,2:128-129.
[23] 景婧,齐敏,王惠芬.护理人员参与MDT的身份与角色的研究进展[J].中华结直肠疾病电子杂志,2016,5(5):452-456. |
|
|
|