PICC与VPA在白血病化疗患者中的应用比较及护理要点

[摘要] Abstract：Objective To compare the application efficacy and key nursing points of peripherally inserted central catheter (PICC) and venous port access (VPA) in the chemotherapy for patients with leukemia. Methods A total of 83 patients with leukemia were selected and randomly divided into PICC group (n=42) and VPA group (n=41). Cathetering condition, satisfactory degree of patients on catheterusing serves and postchemotherapeutic quality of life (QOL) were compared between two groups, and the occurrence rates of chemotherapyassociated complications were recorded in both groups. Results Compared with PICC group, VPA group was markedly shorter in average daily cathetermaintaining time and notably longer in average catheterindwelling time (P＜0.05 or P＜0.01). However, PICC group was apparently higher than VPA group in disposable catheterindwelling rate (P＜0.05). As to QOL scores, except on dimension of financial difficulty, other score of each dimension and the total healthy status score were prominently higher in VPA group than those in PICC group, but there was no significant difference (P＞0.05). VPA group was obviously higher than PICC group in score on each clinical serve survey questionnaire dimension (P＜0.01). Moreover, PICC group was significantly higher than VPA group in the total rate of complications (P＜0.05). Conclusion VPA is long in indwelling time and low in rates of complications of patients with leukemia undergoing chemotherapy, and can significantly improve their postchemotherapeutic QOL .

[学科分类] 护理学

[关键词] 白血病;化疗;PICC;VPA;生活质量;护理