Abstract:
Objective: To explore the effect of continuous nursing service on the self-care agency score, catheter indwelling time, on-time maintenance ratio, and patients’ complication rates with tumor chemotherapy PICC catheterization.
Methods: According to the nursing methods, a total of 90 cancer patients undergoing chemotherapy in our hospital from July 2018 to July 2020 were divided into an observation group (n=45) and a control group (n=45). The control group received conventional nursing care; which was also given to the observation group in addition to continuous nursing service. The ES-CA score, catheter indwelling time, on-time maintenance ratio, compliance, complication rate, and nursing satisfaction were compared after 3 months.
Results: Before care, there was no significant difference in self-care responsibility, self-concept, self-care skills, and health knowledge between the two groups (P>0.05), while these indexes of the observation group aftercare were significantly higher than in the control group (P<0.05). The catheter indwelling time of the observation group was longer, and its proportion of on-time maintenance was also significantly greater in comparison with the control group. The difference was statistically significant (P<0.05). The compliance rate Aftercare in the observation group was 95.6%, substantially higher than that of the control group (77.78%, P<0.05). The complication rate of the observation group was 6.67%, significantly lower than 26.67% in the control group, and the difference was statistically significant (P<0.05). The nursing satisfaction rate of the observation group was 97.78%, which was significantly higher than that of the control group (80.00%, P<0.05).
Conclusion: Continuous nursing intervention for patients undergoing tumor chemotherapy with PICC catheterization can promote their self-management agency, prolong the PICC catheterization time, reduce the incidence of complications, improve treatment compliance and nursing satisfaction; therefore, it is worthy of promotion and application.
Reference:Zhu W, Liu J, Qian H, Wu Y, Xu CM. Application of continuous nursing intervention for patients with PICC catheterization undergoing tumor chemotherapy. Am J Transl Res. 2021 Jun 15;13(6):7207-7213. PMID: 34306483; PMCID: PMC8290827.