1 东部战区总医院 门诊静脉置管护理中心，南京 210002
2 东部战区总医院 脑外科，南京 210002
3 东部战区总医院 血液科，南京 210002
目的：探讨集束化护理策略在肿瘤患儿经外周静脉穿刺中心静脉置管术(peripherally inserted central catheter，PICC)中的管理成效。方法：将160例肿瘤患儿分为对照组与干预组，每组各80例，对照组实施PICC常规护理流程和健康教育；干预组在对照组基础上采取改良式集束化护理干预措施。结果：干预组患儿置管后并发症发生率下降(P<0.05)，患儿家属焦虑情况明显改善，对疾病相关知识掌握程度和护理工作满意度均提高。结论：对肿瘤患儿PICC实施集束化策略，对降低其置管后并发症的发生和早日康复有促进作用。关键词： 集束化护理策略；肿瘤患儿；并发症；管理实践
Management practice of modified cluster nursing strategy in peripherally inserted central catheter in 160 children with tumor
CorrespondingAuthor: WANG Guiling Email: firstname.lastname@example.org
Foundation: This work was supported by the Subject of Nanjing General Hospital Management, China (2016079).
Objective: To explore the efficacy of cluster nursing strategy in the management of peripherally inserted central catheter (PICC) in children with tumor. Methods: A total of 160 children with tumor were divided into a control group and an intervention group (80 cases for each). The control group was given PICC routine nursing process and health education. On the basis of the control group, the intervention group adopted improved clustered nursing intervention measures. Results: The incidence of complications after catheterization was decreased (P<0.05), the anxiety of the family members of the children was significantly improved, and the mastery of disease-related knowledge and nursing satisfaction were both improved. Conclusion: The cluster strategy of PICC in children with tumor can decrease the incidence of postoperative complications and promote early recovery.Keywords： cluster nursing strategy; children with tumor; complications; management practices