Risk Management And Influencing Factors Of Three-Way Valve PICC Catheter In Patients With Hematologic Diseases

BackgroudWith the development of society leading to a variety of physical and chemical factors increased pollution,the incidence of various types of blood diseases showed a trend of increasing year by year,modern medicine for the treatment of blood diseases,hormones,chemotherapy and other methods require long-term intravenous and repeated intravenous infusion,and Drugs are irritating,high permeability or high viscosity drugs.These drugs can stimulate the patient's blood vessels,reduce the treatment of patients,and affect the quality of life of patients.Therefore,at present in the clinical use of peripheral venous puncture through the central venous catheter(PICC),it is a vein pathway,also known as the lifeline of patients,which reduces the number of puncture,reducing the puncture wound.Currently widely used in clinical three-way valve catheter is mainly Groshong PICC catheter,is a new type of central venous catheter developed by the high medical silicone material made of soft and no stimulation,and biocompatibility is very good for More than 5 d in the long-term intravenous therapy,intravenous infusion of hypertonic,irritating drugs,simple operation,maintenance is also very convenient.PurposeThrough the application of risk management to three patients with hematological disease valve PICC catheter,thereby reducing the incidence of complications,prolong the indwelling time,improve the quality of patient care,provide better quality nursing services for patients.Method1.Object of study A total of 248 PICC patients who received chemotherapeutic drugs and hormone drugs in a Grade III first-class hospital hematology from January 2012 toSeptember 2015 were enrolled in the study.The subjects were divided into the control group and the experimental group,each group of 124 cases.2 Method Two groups of patients were PICC catheter,puncture the blood vessels and parts of your choice to be vein,median cubital vein or cephalic vein.The control group received routine PICC catheterization and nursing care.In the control group,the control group strengthened the management of risk factors,namely,infection,bleeding,catheter blockage and thrombosis,catheter prolapse,phlebitis,catheter rupture or Fracture,and to strengthen the patients and their families on the PICC catheterization health education.The data were analyzed using SPSS17.0 statistical software for the incidence of complications and the influencing factors of the two groups of patients.Results1.The incidence of complications in both groups Complications occurred in 21patients(16.94%)in the control group.There were 9 cases of complication in the test group.The incidence of complications in the two groups,the difference was statistically significant,= 3.922,P <0.05.2.Comparison of complications in two groups There was no significant difference in incidence of complications between the control group and the experimental group in different disease types,the incidence of complications of different venous complications,the incidence of complications of the right upper limb and the upper limb,the incidence of complications in different catheter group,There were significant differences in the complication rate of the 5Fr and 4Fr patients,the success rate of one-time catheterization,the success of two catheterization,the incidence of complications of two or more times,and the incidence of complications in different age groups.The differences were statistically significant <0.05.3.Analysis of Influencing Factors To analyze the influencing factors of the threevalve valve PICC in the complication of hematological patients,the regression analysis showed that age,sex,course of disease,type of catheterization,The number ofcatheterization was the main influencing factor,P <0.001.Conclusion(1)Targeted preoperative comprehensive care intervention can reduce the incidence of three-way valve PICC catheter complications.(2)The incidence of complication occurred in patients with hematologic disease was related to age,sex,duration of disease,type of catheterization,type of catheter,location of tube,type of catheter and number of catheter.