【摘要】 目的探讨序时PICC功能锻炼操对上肢PICC置管患者并发症和生活质量的影响。方法选取我院肿瘤科60例行上肢PICC置管患者作为研究对象。按照知情同意原则,选取其中30例选择接受常规护理和健康教育者作为对照组;在对照组基础上,另外自愿参加序时PICC功能锻炼操的30例患者作为观察组。干预周期4周,对比两组患者PICC置管时间、PICC相关并发症发生率和生活质量。结果干预前,两组患者生活质量评分对比,差异无统计学意义(P>0.05);干预4周后,观察组患者均熟练掌握功能锻炼法。之后随访4个月,调查发现观察组患者平均PICC置管时间长于对照组,差异具有统计学意义(P<0.05);观察组PICC相关并发症发生率低于对照组,差异具有统计学意义(P<0.05);观察组生活质量评分优于对照组,差异具有统计学意义(P<0.05)。结论序时PICC功能锻炼操可显著延长患者上肢PICC置管时间,减少PICC置管相关并发症发生,提高患者生活质量。更多还原

【Abstract】 Objective To explore the chronological usm functional exercise fuck complications in patients with upper limb PICC catheter and theinfluence of the quality of life. Methods 60 cases of upper limb PICC catheterization in our department of oncology were selected as the research subjects. According to the principle of informed consent, 30 cases of them were selected to receive routine and health education as the control group. On the basis of the control group, 30 patients who voluntarily participated in the sequence of PICC functional exercises were used as the observation group. The intervention period was 4 weeks, and the time of PICC catheterization, the incidence of PICC related complications and the quality of life were compared in the two groups. Results Before intervention, there was no significant difference in the quality of life between the two groups(P > 0.05). After 4 weeks of intervention, the patients in the observation group were proficient in functional exercise. After 4 months of follow-up, the average time of PICC catheterization in the observation group was longer than that of the control group, and the difference was statistically significant(P < 0.05). The incidence of PICC related complications in the observation group was lower than that in the control group, and the difference was statistically significant(P < 0.05). The quality of life of the observation group was better than that of the control group, and the difference was statistically significant(P < 0.05). Conclusion PICC function exercises can significantly prolong the PICC catheterization time of the upper limb of the patient, reduce the complications of PICC catheterization and improve the quality of life of the patients.更多还原