Value of risk management combined with positive psychological nursing in preventing risk of mechanical phlebitis in patients with peripherally inserted central catheterization

doi:10.3877/cma.j.issn.1674-0785.2022.06.022

Abstract

Abstract:

Objective

To evaluate the value of risk management combined with positive psychological care in preventing the risk of mechanical phlebitis in patients with peripherally inserted central catheterization (PICC).

Methods

A total of 116 patients with PICC admitted to Beijing Shijitan Hospital Affiliated to Capital Medical University from May 2020 to October 2020 were selected as the study subjects, and they were randomly divided into an observation group (58 cases) and a control group (58 cases). The control group was nursed according to the conventional nursing method for PICC, and the observation group was nursed based on the risk management combined with positive psychological nursing prevention. PICC time, success rate of one puncture, and success rate of one catheterization were recorded in the two groups. The occurrence of mechanical phlebitis in the two groups was recorded 1 week after catheterization.

Results

Compared with the control group, the operation time of catheterization was significantly shorter (P＜0.05), and the incidence of mechanical phlebitis in the observation group was significantly lower (P＜0.05).

Conclusion

Risk management combined with positive psychological nursing can reduce the incidence of mechanical phlebitis in patients with PICC.

Key words: Peripherally inserted central catheterization, Mechanical phlebitis, Risk management, Psychological prevention

Hongmei Tian, Wenrong Li, Lihui Liu, Wenjing Zhang. Value of risk management combined with positive psychological nursing in preventing risk of mechanical phlebitis in patients with peripherally inserted central catheterization[J]. Chinese Journal of Clinicians(Electronic Edition), 2022, 16(06): 593-596.

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URL: https://zhlcyszz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-0785.2022.06.022

https://zhlcyszz.cma-cmc.com.cn/EN/Y2022/V16/I06/593

Figures/Tables 3

项目	观察组（n=58）	对照组（n=58）	t/χ²值	P值
年龄（岁， $x ¯ ± s$ ）	53.62±8.59	54.13±7.82	0.334	0.739
性别［例（%）］			0.310	0.577
男	27（46.55）	30（51.72）
女	31（53.45）	28（48.28）
文化程度［例（%）］			0.315	0.575
高中及以下	34（58.62）	31（53.45）
本科及以上	24（41.38）	27（46.55）
肿瘤类型［例（%）］			0.735	0.865
胃癌	17（29.31）	15（25.86）
肺癌	7（12.07）	9（15.52）
乳腺癌	8（8.62）	6（10.34）
结肠癌	13（22.41）	11（18.97）
其他	13（22.41）	17（29.31）
置管位置［例（%）］			1.584	0.453
贵要静脉	52（89.66）	55（94.83）
肱静脉	5（8.62）	3（5.17）
头静脉	1（1.72）	0（0.00）
置管时间（d）	51.69±13.86	52.47±14.75	0.293	0.770

项目	观察组（n=58）	对照组（n=58）	t/χ²值	P值
年龄（岁， $x ¯ ± s$ ）	53.62±8.59	54.13±7.82	0.334	0.739
性别［例（%）］			0.310	0.577
男	27（46.55）	30（51.72）
女	31（53.45）	28（48.28）
文化程度［例（%）］			0.315	0.575
高中及以下	34（58.62）	31（53.45）
本科及以上	24（41.38）	27（46.55）
肿瘤类型［例（%）］			0.735	0.865
胃癌	17（29.31）	15（25.86）
肺癌	7（12.07）	9（15.52）
乳腺癌	8（8.62）	6（10.34）
结肠癌	13（22.41）	11（18.97）
其他	13（22.41）	17（29.31）
置管位置［例（%）］			1.584	0.453
贵要静脉	52（89.66）	55（94.83）
肱静脉	5（8.62）	3（5.17）
头静脉	1（1.72）	0（0.00）
置管时间（d）	51.69±13.86	52.47±14.75	0.293	0.770

组别	置管操作时间（min， $x ¯$ ±s）	一次穿刺成功［例（%）］	一次置管成功［例（%）］
观察组（n=58）	42.03±3.14	58（100.00）	58（100.00）
对照组（n=58）	44.26±4.39	54（93.10）	54（93.10）
t/χ²值	3.147	2.330	2.330
P值	0.002	0.127	0.127

组别	置管操作时间（min， $x ¯$ ±s）	一次穿刺成功［例（%）］	一次置管成功［例（%）］
观察组（n=58）	42.03±3.14	58（100.00）	58（100.00）
对照组（n=58）	44.26±4.39	54（93.10）	54（93.10）
t/χ²值	3.147	2.330	2.330
P值	0.002	0.127	0.127

组别	Ⅰ级	Ⅱ级	Ⅲ级	总发生
观察组（n=58）	0（0.00）	0（0.00）	0（0.00）	0（0.00）
对照组（n=58）	3（5.17）	3（5.17）	0（0.00）	6（10.34）
χ²值				4.394
P值				0.036

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