The Study On The Real Life Experience Of Cancer Patients With Chemotherapy Phlebitis And Its Clinical Intervention

Objective:By understanding the real life experience of cancer patients with chemotherapy phlebitis and summing up the care needs,in order to provide theoretical basis for individualized nursing measures.Compared three kinds of methods in the prevention of chemotherapy phlebitis caused by 5-fluorouracil and evaluate the intervention effect,In order to provide a comfortable,efficient,safe and convenient method of intervention to reduce chemotherapy phlebitis.Methods:1.According to the purpose sampling method,choose the patients of chemotherapy phlebitis for qualitative interviews.Establishment of semi-structured interview outline before the interview,to understand the needs of the patients by observation and interview.The sample size of the interview is established by the saturation status of the information.2.According to the existing problems and main requirements,the 120patient's method of chemotherapy with 5-fluorouracil(PF)were randomly divided into three groups: 2% mountain scopolamine,hirudoid and potato.The experimental group and hirudoid group patients before infusion chemotherapydrugs,apply the paste of the edge(2-3 cm away from the puncture point)to the corresponding drug along the vein to uniformly to the puncture point at the top of the skin,and up to the elbow,flange on both sides to arm,daub is about 1 mm thickness,and along the blood vessels to local massage gently with spiral technique 4-5 min,moderate strength,with patients' pain advisable,to absorb.Group of patients using potato potato gels.3.Evaluate and compare three groups after intervention chemotherapy sexual phlebitis occurring conditions and local pain degree.Phlebitis evaluation methods of this research:(1)pain index: using the evaluation method and combining with patients complained of pain,and records the pain of patients after intervention degree;(2)the macroscopic observation: use of phlebitis evaluation criteria,observed in patients with vascular conditions and phlebitis level before and after the intervention;(3)blood indicators: before the anisodamine drug intervention,collect white blood cell count and hs-CRP in patients with the indicators;assessing patient's blood indexes after drug intervention,so as to compare the situation of inflammation in patients before and after the intervention.Results:1.The experience of patients on chemotherapy phlebitis can be divided into uncomfortable body experience,negative and positive experience and experience three themes;Among the main problems for local patients puncture skin redness and swelling,pain,hardening of the arteries,demand mainly for:fear of vascular changes,catheter selection pressure and vascular elasticity recovery.2.Thecomparison of three methods to prevent chemotherapy sexual phlebitis : 2% of the anisodamine group phlebitis occurred in 15 cases,accounting for 37.5%;hi treatment of phlebitis occurred in 27 cases,accounting for 67.5%;potato group phlebitis occurred in 32 cases,accounting for 80%.The incidence of phlebitis was statistically significant(P <0.05).And hirudoid group and routine nursing group effect is not obvious,(P> 0.05);3.From the aspects of relieve local pain caused by chemotherapy drugs:2%mountain scopolamine group appear?level degree of 10 cases,?level degree in3 patients,the incidence was 32.5%;Hirudoid group 20 cases appear ? level degree,? level degree in 5 cases,the incidence was 62.5%;Potato group 21 cases ? level degree,grade ? level 4 cases,the incidence was 62.5%;Three groups of patients with local pain degree,the difference was statistically significant(P < 0.05);Also the time and duration of local pain in patients were significantly delayed by 2% anisodamine group.Then the experimental group significantly reduce pain.4.Through a course of one week found that most of the patients with vascular slowly for the development of phlebitis ? level with the funicular and pigmentationafter the end of follow-up.Among them,2% anisodamine group phlebitis?grade 12 cases,accounting for 30%;hi treatment group phlebitis ?grade occurred in 27 cases,accounting for 67.5%;potato group than theprevious period of severe chemotherapy,phlebitis ? grade 35 cases,accounting for 87.5%.2% mountain scopolamine group phlebitis degree under hirudoid group and routine nursing group,were statistically significant(P<0.05).The role of hirudoid group and routine nursing group is not obvious(P>0.05).5.Comparison the chemotherapy of blood index and inflammatory index,there was no statistically significant difference,(P>0.05).But PLT and PCT have decreased after intervention with the groups,they were positively correlative.Take PLT as dependent variable,MPV,PCT,PDW values into as independent variables,three groups of patients after the intervention of MPV,the partial regression coefficient of PCT were statistically significant(P<0.05).Conclusion:1.Chemotherapy phlebitis of the tumor patients is continuous,a variety of uncomfortable body,psychological feelings,nursing staff should take pertinence,the rationality of the intervention,increase patient comfort.2.2% anisodamine can effectively prevent and alleviate the influence of 5-chemotherapy phlebitis and local pain.3.2% anisodamine can improve patients so as to prevent the initiative and local skin comfort.