Influence of high-quality nursing intervention on complications of central venous catheterization in patients with hematological tumors
优质护理干预对中心静脉置管血液肿瘤患者并发症的影响

摘要

目的 探究中心静脉置管血液肿瘤治疗期间优质护理干预对并发症的预防效果。方法 回顾我院2019年1月~2021年12月之间收治的中心静脉置管血液肿瘤患者240例进行单盲分组实验，其中纳入对照组的120例患者，在中心静脉置管血液肿瘤治疗期间联合给予常规护理干预，纳入观察组的120例患者则同期给予优质护理干预，对比两组局部感染、静脉炎、导管渗液、穿刺红肿的并发症占比，统计一次性穿刺成功率；对比患者经GQOLI-74量表评价下患者心理、躯体、物质、社会四项功能与质量分值（评估时间为护理后四周）；统计护理模式下患者满意度。结果 观察组患者并发有局部感染、静脉炎、导管渗液、穿刺红肿的占比偏低；观察组经GQOLI-74量表评估生理恢复效果好；观察组患者对护理的满意度偏高，（P<0.05）。结论 血液肿瘤治疗期间给予中心静脉置管的优质护理，可预防并降低并发症，有助于患者生理指标的稳定，可促进置管作用的发挥，安全置管，辅助血液肿瘤的有效开展。

Abstract

Objective: To explore the preventive effect of high-quality nursing intervention on complications during the treatment of hematological tumors with central venous catheterization.
Methods: A single-blind group experiment was performed on 240 patients with central venous catheter hematological tumors who were treated in our hospital from January 2019 to December 2021. Among them, 120 patients in the control group were included in the treatment of central venous catheterization for hematological tumors. Routine nursing intervention was given, and 120 patients included in the observation group were given high-quality nursing intervention at the same time. The proportions of complications of local infection, phlebitis, catheter exudation, and puncture redness were compared between the two groups, and the one-time puncture success rate was calculated. GQOLI-74 scale evaluates the patient's psychological, physical, material and social functions and quality scores (the evaluation time is four weeks after nursing); the patient's satisfaction under the nursing mode is counted.
Results: The proportion of patients in the observation group complicated with local infection, phlebitis, catheter exudation, and puncture redness was low; the observation group was evaluated by GQOLI-74 scale and the physiological recovery effect was good; the patients in the observation group had high satisfaction with nursing, (P<0.05).
Conclusion  : High-quality care of central venous catheter during the treatment of hematological tumors can prevent and reduce complications, help to stabilize the physiological indicators of patients, promote the performance of catheterization, safe catheterization, and assist the effective development of hematological tumors.