Experience of evidence-based nursing in preventing mechanical phlebitis among cancer patients with peripherally insert central catheter

Abstract

Objective To explore the effects of evidence-based nursing on preventing mechanical phlebitis in cancer patients with peripherally insert central catheter.Methods Totals of 123 cancer patients with peripherally insert central catheter in sixth people' s hospital of Shaoxing city were randomly divided into experiment group and control group.And 58 patients in the control group received only traditional nursing while the evidence-based nursing was carried on the 65 patients in experiment group.Then,the occurrence time of mechanical phlebitis,the incidence of mechanical phlebitis and the mean catheterization time were compared between the two groups.Results The incidence of mechanical phlebitis in experiment group was 6.2％,significantly lower than that of control group which was 20.7％ (x2 =5.23,P ＜ 0.05).The occurrence time of mechanical phlebitis was later than that of the control group [(7.1 ± 2.1) vs (3.3 ± 1.4) d],and the mean catheterization time was significantly longer than that of the control group [(103.6 ± 10.2) vs (72.3 ± 11.5) d],and the differences were statistically significant (t =3.26,4.65,respectively ;P ＜ 0.05).Conclusions Evidencebased nursing in cancer patients with peripherally insert central catheter can significantly reduce the incidence of mechanical phlebitis,so it is worthy of clinical practice. Key words: Evidence-based nursing; Tumor; PICC ; Mechanical phlebitis