Mesh : Antigens, Neoplasm Biomarkers, Tumor Catheter-Related Infections / etiology Catheterization, Peripheral / adverse effects methods Catheters Central Venous Catheters / adverse effects Critical Illness Humans Keratin-19 Lung Neoplasms / complications Retrospective Studies Sepsis / complications

来  源:   DOI:10.1155/2022/2791464   PDF(Pubmed)

Abstract:
UNASSIGNED: Peripherally inserted central catheter (PICC), as one of the important intravenous routes for the rescue and treatment of critically ill patients, has been widely used in the fluid resuscitation of critically ill patients in intensive care. In particular, PICC can be widely used in the treatment of cancer patients. With the wide application of peripheral central venous catheterization, the clinical findings of bloodstream infection complications caused by PICC have gradually attracted the attention of doctors and patients.
UNASSIGNED: To investigate the effect of specialized placement and PICC placement care on patients with lung cancer who underwent PICC puncture. Patients were selected and divided into a comparison group and an observation group of 40 patients each according to the randomized residual grouping method. In the comparison group, routine PICC placement and catheter maintenance were performed, while the observation group was provided with specialized placement and PICC placement care. The differences in immune and tumor marker levels and nursing compliance between the two groups were observed and compared before and after nursing care.
UNASSIGNED: There was no significant difference in the comparison of tumor marker levels between the two groups of patients before care, while the levels of CYFRA21-1, CA125, and VGEF in the observation group were significantly lower than those in the comparison group after care, and this difference was statistically significant (P < 0.05). There was no statistically significant difference in the comparison of immune levels between the two groups before care (P > 0.05), while the comparison of CD4+, CD3+, and CD4+/CD8+ after care was significantly different and higher in the observation group than in the comparison group, and the comparison was statistically significant (P < 0.05). The compliance rate of 93.8% in the observation group was significantly higher than that of 77.9% in the comparison group, and this difference was statistically significant for comparison (P < 0.05).
UNASSIGNED: PICC placement care is more effective in patients with lung cancer and performing PICC puncture, significantly improves patients\' immune and tumor marker levels, improves patients\' negative emotions, reduces disease uncertainty, and improves nursing compliance.
摘要:
未经授权:经外周置入中心静脉导管(PICC),作为抢救和治疗危重病人的重要静脉途径之一,已广泛应用于重症患者的液体复苏。特别是,PICC可广泛应用于肿瘤患者的治疗。随着外周中心静脉置管的广泛应用,PICC引起血流感染并发症的临床发现逐渐引起医生和患者的重视。
UNASSIGNED:目的探讨专门放置和PICC放置护理对行PICC穿刺的肺癌患者的影响。选取患者,按照随机残差分组法分为对照组和观察组各40例。在比较组中,进行常规PICC置管和导管维护,观察组给予专门的置管和PICC置管护理。观察比较两组患者护理前后免疫、肿瘤标志物水平及护理依从性的差异。
UNASSIGNED:两组患者在护理前的肿瘤标志物水平比较没有显着差异,观察组的CYFRA21-1、CA125和VGEF水平显著低于对照组,差异有统计学意义(P<0.05)。护理前两组患者免疫水平比较差异无统计学意义(P>0.05),而CD4+的比较,CD3+,观察组护理后CD4+/CD8+差异显著,且高于对照组,比较有统计学意义(P<0.05)。观察组的依从率93.8%明显高于对照组的77.9%。差异有统计学意义(P<0.05)。
UASSIGNED:PICC置管护理对肺癌患者和进行PICC穿刺更有效,显着提高患者的免疫和肿瘤标志物水平,改善患者的负面情绪,减少疾病的不确定性,提高护理依从性。
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