社区肿瘤患者PICC置管的延续性护理实践效果观察

Observations on the Practical Effect of Continuous Nursing for Tumor Patients with PICC Catheterization in Community Setting

摘要: 目的：探讨社区卫生服务中心对肿瘤PICC置管患者实施延续性护理的实践效果。方法：从本中心2023年10月~2024年9月收治的肿瘤PICC置管患者中抽取22例，采用随机数字表法分为对照组与干预组，各11例。对照组给予社区常规护理，干预组给予社区延续性护理(包括成立专项小组、微信指导、上门随访等)。比较两组患者导管相关并发症发生率及护理满意度。结果：干预3个月后，干预组并发症发生率为9.09% (1/11)，低于对照组的27.27% (3/11)，差异有统计学意义(P < 0.05)；干预组护理满意度为100.00% (11/11)，高于对照组的72.73% (8/11)，差异有统计学意义(P < 0.05)。结论：对肿瘤PICC置管患者实施社区延续性护理能降低导管相关并发症发生率，提升护理满意度，值得在社区推广应用。

Abstract: Objective: To explore the practical effect of continuous nursing for tumor patients with PICC catheterization implemented in community health service centers. Methods: A total of 22 tumor patients with PICC catheterization admitted to our center from October 2023 to September 2024 were selected and randomly divided into a control group and an intervention group using a random number table method, with 11 cases in each group. The control group received routine community nursing, while the intervention group received continuous community nursing (including establishing a special team, WeChat guidance, home visits, etc.). Catheter-related complication rates and nursing satisfaction were compared between the two groups. Results: After 3 months of intervention, the complication rate in the intervention group was 9.09% (1/11), which was lower than 27.27% (3/11) in the control group, and the difference was statistically significant (P < 0.05). The nursing satisfaction rate in the intervention group was 100.00% (11/11), which was higher than 72.73% (8/11) in the control group, and the difference was statistically significant (P < 0.05). Conclusion: Implementing continuous community nursing for tumor patients with PICC catheterization can reduce the incidence of catheter-related complications and improve nursing satisfaction, which is worthy of clinical application in community settings.