老年肿瘤患者植入式输液港相关性感染综合护理措施及其效果

Effects of comprehensive nursing measures on elderly tumor patients with implantable venous access port-associated infection

    摘要
  • 摘要:
    目的 探究老年肿瘤患者完全植入式中心静脉输液港(TIVAP)相关性感染综合护理措施及其效果。
    方法 回顾性分析2020年3月-2023年3月解放军总医院海南医院接受TIVAP静脉输注治疗的300例老年肿瘤患者(≥60岁)病历资料，并根据患者采取的护理方法分为对照组158例和研究组142例，对照组患者进行常规护理，研究组在对照组基础上，实施抗感染综合护理，包括严格无菌操作、早期干预、全面心理支持、多学科合作以及个性化护理等措施，对比两组感染率、生命质量评分、并发症、癌症疲乏评分(CFS)及满意度。
    结果 研究组感染发生率低于对照组(P＜0.05);研究组并发症发生率低于对照组(P＜0.05);两组干预前CFS评分比较无统计学差异; 干预完成后7 d研究组CFS低于对照组(P＜0.05)。研究组总满意率高于对照组(P＜0.05)。
    结论 对老年肿瘤TIVAP相关性感染患者，抗感染综合护理，能有效降低感染风险和并发症率，提高生活质量和降低癌因性疲乏程度，护理满意度高，适合临床推广，为更多的患者提供更优质的护理方法。

     

    Abstract:
    OBJECTIVE To explore the effect of comprehensive nursing measures on the elderly tumor patients with totally implantable central venous access port (TIVAP)-associated infection.
    METHODS Totally 300 elderly tumor patients (aged no less than 60 years old) who received intravenous infusion with TIVAP in Hainan Hospital of Chinese PLA General Hospital from Mar. 2020 to Mar. 2023 were enrolled in the study, the pathological data were collected from the patients and retrospectively analyzed. The enrolled patients were divided into the control group with 158 cases and the study group with 142 cases according to the nursing method. The control group was given conventional nursing, while the study group was given additional comprehensive anti-infection nursing, including rigid aseptic operation, early intervention, comprehensive psychological support, multidisciplinary coordination and individualized nursing, on basis of the nursing of the control group. The infection rate, life quality score, complications, cancer fatigue score (CFS) and satisfaction were observed and compared between the two groups.
    RESULTS The incidence of infections of the study group was lower than that of the control group (P < 0.05); the incidence of complications of the study group was lower than that of the control group(P < 0.05). There was no significant difference in the CFS between the two groups before the intervention; while the CFS of the study group was lower than that of the control group after the intervention was completed for 7 days(P < 0.05). The total satisfaction rate of the study group was higher than that of the control group(P < 0.05).
    CONCLUSIONS The comprehensive anti-infection nursing measures, achieve remarkable nursing effect on the elderly tumor patients with TIVAP-related infections, effectively reduce the risk of infections and incidence of complications, and improve the quality of life and degree of tumor-induced fatigue, the satisfaction with nursing high. It is worthy to be promoted in the hospital so as to offer better nursing measures for more and more patients.

     

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