区域穿刺法联合微信平台管理在肿瘤患者PICC置管期间的应用效果

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Abstract Objective To explore the application effect of zone puncture method (ZIM) combined with WeChat platform management during PICC catheterization of tumor patients.Methods A total of 90 tumor patients admitted to Pingxiang People ′s Hospital from June 2019 to July 2020 were selected as the research objects, and were divided into group A(30 cases), group B (30 cases) and group C (30 cases) according to the random number table method.Group A used ZIM guided PICC catheter placement combined with conventional nursing intervention, group B used conventional ultrasound guided PICC placement combined with conventional nursing intervention, group C used ZIM ultrasound guided PICC placement combined with WeChat platform management, all three groups continuously intervened until after extubation.The incidence of postoperative complications, nursing satisfaction rate and self-care ability of the three groups were compared.Results The total incidence of complications in group A was lower than that in group B, the total incidence of complications in group B was higher than that in group C, and the total incidence of complications in group A was higher than that in group C, the differences were statistically significant (P＜0.05).The care total satisfaction of group A before discharge and after extubation was higher than that of group B, the care total satisfaction of group B was lower than that of group C, and the care total satisfaction of group A was lower than that of group C, the differences were statistically significant (P＜0.05).There was no statistically significant difference in the exercise of self-care agency (ESCA) scores of the three groups before the intervention (P＞0.05);compared with before the intervention, the ESCA scores of the three groups increased after the intervention, and the ESCA scores of group A were higher than that of group B，the ESCA scores of group B were lower than those of group C，and the ESCA scores of group A were lower than those of group C, the differences were statistically significant (P＜0.05).Conclusion ZIM combined with WeChat platform management can effectively reduce the occurrence of complications during PICC catheterization of tumor patients and improve their self-care ability.

Key words： Tumor PICC catheterization Zone puncture method WeChat platform management Complications

Received: 29 January 2021

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