The impact of predictive nursing based on risk identification concept on the incidence of central venous catheter infection and thrombosis in cancer patients
基于风险识别理念的预见性护理对肿瘤患者中心静脉导管感染率及血栓形成率的影响

摘要

目的 分析基于风险识别理念的预见性护理在预防肿瘤患者中心静脉导管感染和血栓中的实际应用效果。方法 选择2023年1月-2026年1月我院肿瘤科收治的300例恶性肿瘤患者为研究对象，基于随机原则将其分为对照组（n=150）和研究组（n=150），对照组患者接受常规干预，研究组实施基于风险识别理念的预见性护理干预，比较两组患者中心静脉导管感染率及血栓形成率，并比较两组患者干预前后生活质量评分变化情况。结果 在不良反应发生情况比较上，研究组导管感染率及血栓形成率均显著低于对照组（P<0.05）；两组患者干预前生活质量各维度评分均未见显著性差异（P>0.05），干预后均提升且研究组高于对照组（P<0.05）。结论 基于风险识别理念的预见性护理有助于预防中心静脉导管感染及血栓等不良反应发生，对提高肿瘤患者生活质量具有积极意义，值得在临床护理中推广应用。

Abstract

Objective To analyze the practical application effect of predictive nursing based on risk identification concept in preventing central venous catheter infection and thrombosis in cancer patients.
Methods 300 patients with malignant tumors admitted to the oncology department of our hospital from January 2023 to January 2026 were selected as the research subjects. Based on the principle of random, they were divided into the control group (n=150) and the study group (n=150). Patients in the control group received routine intervention, while patients in the study group received predictive nursing intervention based on the concept of risk identification. The incidence of central venous catheter infection and thrombosis in the two groups were compared, and the changes in quality of life scores before and after intervention in the two groups were also compared.
Results In terms of the occurrence of adverse reactions, the catheter infection rate and thrombosis rate in the study group were significantly lower than those in the control group (P<0.05); there was no significant difference in the scores of each dimension of quality of life before intervention between the two groups (P>0.05), and after intervention, both groups improved, and the study group was higher than the control group (P<0.05).
Conclusion   Predictive nursing based on the concept of risk identification can help prevent the occurrence of central venous catheter infection and other adverse reactions, and has a positive significance for improving the quality of life of cancer patients. It is worthy of promotion and application in clinical nursing.