Ann Ital Chir. 2021;92:70-76.
This study is aimed at verifying the effect of specific management modalities aimed at reducing or preventing the incidence of infections in the blood flow in relation to the use of the central venous catheter (CRBSI = catheterrelated bloodstream infection) in patients undergoing chemotherapy.
36 patients (n = 36) with a peripherally inserted venous catheter (PICC) were enrolled in the integrated medical treatment group, while 128 patients with an internal central venous catheter were enrolled in the control group. The patients in the control group underwent routine nursing, while the patients in the treatment group underwent integrated surveillance control infection treatment by doctors and were compared between these two groups l incidence of complications, CRBSI.
The incidence of complications of the CRBSI type was significantly lower in the whole treatment group than in the control group and the difference was statistically significant (p <0.05).
It is concluded that the implementation of the infection control management modality within the integration of medical care for PICC chemotherapy patients in the Oncology Department can effectively reduce the incidence of infectious complications in the bloodstream, and improve the level of nursing care in peripheral venous catheterization (PICC) with improved patient satisfaction.
Chemotherapy, Individualized management, Infection control management mode under medical care integration/Nursing, Peripherally inserted central catheter (PICC).
本研究旨在验证特定管理方式对降低或预防化疗患者血流感染（即中心静脉导管相关性血流感染[CRBSI]）发生率的效果。
将 36 例外周静脉置入中心静脉导管（PICC）患者纳入综合医疗治疗组，将 128 例内置中心静脉导管患者纳入对照组。对照组患者接受常规护理，而治疗组患者接受医生综合感染监控治疗，并对两组患者的并发症发生率、CRBSI 进行比较。
整体治疗组的 CRBSI 型并发症发生率明显低于对照组，差异具有统计学意义（p<0.05）。
肿瘤内科实施 PICC 化疗患者医疗整合的感染控制管理模式，可有效降低血流感染性并发症的发生率，提高外周静脉置管（PICC）护理水平，提升患者满意度。
化疗；个体化管理；医疗整合下的感染控制管理模式/护理；经外周置入中心静脉导管（PICC）。
