ABSTRACT
Objective To investigate the reasons and nursing countermeasures of the discomfort of peripher-ally inserted central catheter(PICC)intubation patients in the process of placing tube.Methods 290 patients with PICC who were treated with PICC for the first time were summarized.Results 290 patients with PICC in catheter had not comfortable experience.The main reason of causing discomfort was psychological factors,accounted for 90.0%, catheter when the cold experience leads to the discomfort of 82.8%,catheter environmental factors accounted for 6 3 .8 % ,pain caused by discomfort accounted for 15.5% ,puncture posture factors leading to 13.1% .Conclusion The causes of discomfort in the process of PICC is more,strengthen preoperative health education and the operation of effective communication,to create a relaxed comfortable environment to help patients take comfortable posture,improve a catheter success rate,preventing catheter during cold and other measures can improve the patients'comfort.
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Objective To observe the effect of hot compress with medicinal salt pack in preventing PICC-associated mechanical phlebitis.Method Totally 200 inpatients undergone PICC intubation were randomized into a treatment group and a control group, 100 cases in each group. After PICC intubation, the treatment group was intervened by hot compress with medicinal salt pack, while the control group was by hot compress with warm wet towel. The occurrence of mechanical phlebitis was observed at different time points and compared between the two groups. Result The occurrence rate of mechanical phlebitis was 9.0% in the treatment group versus 26.0% in the control group, and the difference was statistically significant (P72 h, versus 16.0% and 10.0% in the control group, and the differences were statistically significant (P<0.05). Conclusion Hot compress with medicinal salt pack can effectively reduce the occurrence of PICC-associated mechanical phlebitis.
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Objective To explore the relationship of catheter-directed thrombolysis and deep venous thrombosis.Methods We analyzed 2267 consecutive central venous catheter attempts from January to December in2006.Results 18 patients had deep venous thrombosis,and several studies have identified factors associated with mechanical complications of central venous catheter.These factors include illness,the use of drug,mobility.Conclusion It is very important to prevent and cure deep venous thrombosis and decrease incidence of death of knowing many risk factors and clinical symptoms of catheter-directed thrombolysis.
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OBJECTIVE To investigate the appropriate time of changing Ke Lai Fu infusion connector of central venous infusion catheter.METHODS The patients were selected from Internal Oncology Dept in our hospital based on certain criteria,and divided these patients with central venous infusion catheter into 4 groups.The new infusion connector of their central venous catheter was changed every 7 days,10days,15 days and 30 days etc.The replaced infusion connectors were rinsed by normal saline and their residual flush liquids were sent for bacterial culture.The group that their bacterial culture of residual flush liquids was negative was determined as the best changing days of infusion connectors.RESULTS The bacterial culture positive rates of Ke Lai Fu infusion connectors which were renewed every 7 days,10 days,15 days and 30 days,were 0,8.1%,10.3%and 29.7%,respectively.The best renewing days of connector was 7 days.CONCLUSIONS This result of the study provides a valuable guidance for the proper application of infusion connectors and effectively prolonging the indwelling days of central venous infusion catheter;therefore it can decrease hospital infection rate.