| 唐玲,赵钧.乳腺癌术后中心静脉置管患者围化疗期预防静脉血栓临床护理路径的构建及研究进展[J].上海护理,2023,23(S1): |
| 乳腺癌术后中心静脉置管患者围化疗期预防静脉血栓临床护理路径的构建及研究进展 |
| Construction and research progress of clinical nursing pathways for the prevention of venous thrombosis during perichemotherapy in patients with central venous catheterization after breast cancer surgery |
| DOI： |
| 中文关键词: 乳腺癌 中心静脉置管 静脉血栓 临床护理路径 |
| 英文关键词:Breast cancer Central venous catheter Venous thrombosis Clinical care pathway |
| 基金项目:松江区科学技术攻关项目资助课题[编号：21JKJGG47] |
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| 中文摘要: |
| 目的 针对乳腺癌术后化疗患者静脉血栓的发生与治疗，构建个性化与规范化相结合的临床护理路径，并将此路径运用于临床 方法 在文献回顾的同时对我院乳腺外科及血管科医护人员进行质性访谈，使用Caprini量表、随访记录单的同时，增加采用Khorana量表及对D-二聚体数值的监控，以此为依据构建临床护理路径。将上海市第一人民医院南院治的360例乳腺癌术后化疗患者按照入院时间分为观察组和对照组各180例，分别实施临床护理路径护理模式和常规护理模式。 结果 使用临床护理路径对患者进行早期监测与干预可有效降低乳腺癌围化疗期静脉血栓发生率（P<0.01），患者置管手臂红肿疼痛，血管B超确诊血栓后药物治疗、停用中心静脉装置情况均有所减少（P<0.05），患者满意度有所提高（P<0.05）。结论 对乳腺癌术后化疗患者实施临床护理路径能有效预防患者静脉血栓的发生，提高护理质量。 |
| 英文摘要: |
| Objective Aiming at the occurrence and treatment of venous thrombosis in postoperative chemotherapy patients with breast cancer, construct a clinical nursing path combining individualization and standardization, and apply this path to clinic. Methods Qualitative interviews were conducted with the medical staff of the department, while the Caprini scale and follow-up record sheet were used, and the Khorana scale and the monitoring of D-dimer values were added, so as to build a clinical nursing path. 360 breast cancer postoperative chemotherapy patients treated in the South Hospital of Shanghai First People's Hospital were divided into an observation group and a control group with 180 cases each according to the admission time, and the clinical nursing path nursing mode and the routine nursing mode were implemented respectively. Results Using the clinical nursing pathway to monitor and intervene patients early can effectively reduce the incidence of venous thrombosis during perichemotherapy for breast cancer (P<0.01). The patient's arm is red, swollen and painful, and blood clots are diagnosed by B-ultrasound. Device condition decreased (P<0.05) and patient satisfaction increased (P<0.05). Conclusion The implementation of clinical nursing pathway for postoperative chemotherapy patients with breast cancer can effectively prevent the occurrence of venous thrombosis and improve the quality of nursing care. |
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