Nursing care of an elderly patient with cancer chemotherapy suffering from medical adhesive related skin injury after PICC catheterization

Fentao BAI; Jing MA

doi:10.12209/CAIM202210280035

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Nursing care of an elderly patient with cancer chemotherapy suffering from medical adhesive related skin injury after PICC catheterization

更新时间：2022-11-11

- Nursing care of an elderly patient with cancer chemotherapy suffering from medical adhesive related skin injury after PICC catheterization
  增强出版
- Clinical Archives of Integrative Medicine (2022)
- 作者机构：
  
  北京中医药大学第三附属医院肿瘤血液科，北京，100029
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202210280035
  CLC：
- Published Online：11 November 2022，
  
  Received：28 October 2022，
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Fentao BAI, Jing MA. Nursing care of an elderly patient with cancer chemotherapy suffering from medical adhesive related skin injury after PICC catheterization. [DB/OL].Clinical Archives of Integrative Medicine (2022)
DOI：

Fentao BAI, Jing MA. Nursing care of an elderly patient with cancer chemotherapy suffering from medical adhesive related skin injury after PICC catheterization. [DB/OL].Clinical Archives of Integrative Medicine (2022) DOI： 10.12209/CAIM202210280035.

摘要

总结一例高龄肿瘤化疗患者PICC置管后医用黏胶相关性皮肤损伤护理过程。护理要点包括：通过观察局部皮肤渗液、破损面积、破损程度、破损性质以及皮温，皮肤科会诊、导管分泌物培养、静疗小组会诊，经过积极的PICC换药、合理用药、精心制定换药计划、心理护理、导管护理、疼痛护理、健康宣教，患者皮肤损伤痊愈化疗结束后出院，同时加强出院后PICC维护以及注意事项指导。经实施上述综合护理措施，历经12天患者医用黏胶相关性皮肤损伤痊愈出院，出院后一周随访，患者PICC导管贴膜固定良好，未有渗血、渗液，皮肤无红肿，导管固定良好。

Abstract

To summarize the nursing process of medical adhesive related skin injury after PICC catheterization in an elderly cancer patient undergoing chemotherapy. Key points of care include： By observing the local skin drainage， broken area， damage degree， damage properties and skin temperature， dermatology consultation， catheter secretion cultivation， static therapy group consultation， after PICC positive treatment， rational drug use， carefully making treatment plan， psychological nursing， catheter nursing， pain nursing， health education， patients with skin lesions heal chemotherapy after hospital discharge， At the same time， the PICC maintenance and precautions guidance should be strengthened after discharge. After the implementation of the above comprehensive nursing measures， the patient was cured and discharged from hospital after 12 days of medical adhesive related skin injury. One week after discharge， the PICC catheter of the patient was well fixed with film， no bleeding or exudation， no skin redness and swelling， and the catheter was well fixed.

关键词

高龄肿瘤化疗经外周静脉置入中心静脉导管医用黏胶皮肤损伤护理

Keywords

Cancer chemotherapy in the elderlyPeripheraly Inserted Central Catheter，PICCMedical adhesiveSkin damageNursing

references

陆红梅，解金凤. PICC置管术后医用粘胶相关性皮肤损伤的现况调查与分析［J］. 当代护士（下旬刊）， 2019， 26（4）： 19-22.

LU H M， XIE J F. Investigation and analysis of medical adhesive-related skin injury after PICC catheterization［J］. Today Nurse， 2019， 26（4）： 19-22.

ZHAO H， HE Y， HUANG H， et al. Prevalence of medical adhesive-related skin injury at peripherally inserted central catheter insertion site in oncology patients［J］. J Vasc Access， 2018， 19（1）： 23-27.

张晓雪，王硕，张宇，等. ICU老年患者医用粘胶相关性皮肤损伤现况及影响因素分析［J］. 护理学杂志， 2022， 37（6）： 54-57.

ZHANG X X， WANG S， ZHANG Y， et al. Current status and influencing factors of medical adhesive-related skin injuries among elderly patients in ICU［J］. J Nurs Sci， 2022， 37（6）： 54-57.（in Chinese）

贺成红，宋应群，巫素青，等. 粘胶祛除剂对PICC置管患者医用粘胶相关性皮肤损伤的影响［J］. 天津护理， 2019， 27（5）： 596-598.

HE C H， SONG Y Q， WU S Q， et al. Effect of adhesive remover on medical adhesive-related skin injury in PICC patients［J］. Tianjin J Nurs， 2019， 27（5）： 596-598.（in Chinese）

王琴，陈金，魏力. 肿瘤患者PICC置入部位医用粘胶相关性皮肤损伤影响因素的队列研究［J］. 护理学报， 2019， 26（17）： 1-5.

WANG Q， CHEN J， WEI L. Cohort study on influence factors of medical adhesive-related skin injury in PICC insertion site of tumor patients［J］. J Nurs China， 2019， 26（17）： 1-5.（in Chinese）

余琪，童瑾，孙杉杉，等. PICC癌症患者医用粘胶相关皮肤损伤原因分析及对策［J］. 护理学报， 2018， 25（8）： 69-70.

YU Q， TONG J， SUN S S， et al. Cause analysis and countermeasures of medical adhesive-related skin injury in PICC cancer patients［J］. J Nurs China， 2018， 25（8）： 69-70.（in Chinese）

BERTERO L， MASSA F， METOVIC J， et al. Eighth Edition of the UICC Classification of Malignant Tumours： an overview of the changes in the pathological TNM classification criteria-What has changed and why？［J］. Virchows Arch， 2018， 472（4）： 519-531.

ZHAO H H， HE Y， HUANG H Q， et al. Prevalence of medical adhesive-related skin injury at peripherally inserted central catheter insertion site in oncology patients［J］. J Vasc Access， 2018， 19（1）： 23-27.

赖永明星，夏琪，毛孝容，等. 医用粘胶相关性皮肤损伤发生率及危险因素研究进展［J］. 实用医院临床杂志， 2022， 19（1）： 184-186.

LAI Yongmingxing， XIAQi， MAO Xiaoyong， YANG Guoxing， CAO Haixia， CHEN Xin， CAO Wenjuan， WEN Xianxiu】， et al. Research progress on incidence and risk factors of MARSI［J］. Pract J Clin Med， 2022， 19（1）： 184-186.（in Chinese）

岳岚，许妍，李珍，等. 肿瘤患者医用粘胶相关性皮肤损伤风险评估量表的编制及信效度检验［J］. 中华护理杂志， 2022， 57（8）： 964-970.

YUE L， XU Y， LI Z， et al. Development of the Medical Adhesive Related Skin Injury Risk Assessment Scale in Cancer Patients and the test of its reliability and validity［J］. Chin J Nurs， 2022， 57（8）： 964-970.（in Chinese）

韦艳，詹敏玉，卢先锦，等. 化疗间歇期PICC带管患者医用黏胶相关性皮肤损伤的原因分析及对策［J］. 当代护士（下旬刊）， 2017（11）： 137-139.

WEI Y， ZHAN M Y， LU X J， et al. Cause analysis and countermeasures of medical adhesive-related skin injury in patients with PICC catheter during the interval of chemotherapy［J］. Today Nurse， 2017（11）： 137-139.（in Chinese）

朱思珠，袁海川. 皮肤保护剂对透析患者相关皮肤损伤的影响［J］. 护理实践与研究， 2017， 14（9）： 125-126.

ZHU S Z， YUAN H C. Influence of skin protective agent on related skin damage of hemodialysis patients［J］. Nurs Pract Res， 2017， 14（9）： 125-126.（in Chinese）

彭娇，付红英，岳慧娟，等. PICC置管病人医用粘胶相关性皮肤损伤影响因素的Meta分析［J］. 循证护理， 2022， 8（1）： 29-35.

PENG J， FU H Y， YUE H J， et al. Influencing factors of medical adhesive-related skin injury in patients with PICC catheterization： a Meta-analysis［J］. Chin Evid Based Nurs， 2022， 8（1）： 29-35.（in Chinese）

GAO C H， YU C， LIN X X， et al. Incidence of and risk factors for medical adhesive-related skin injuries among patients： a cross-sectional study［J］. J Wound Ostomy Continence Nurs， 2020， 47（6）： 576-581.

RatliffCR.Descriptivestudyofthefrequencyofmedicaladhesive-relatedskininjuriesinavascularclinic［J］.JournalofNursingScience，2017，35（2）：86-89.

于俊. 简述医用弹力绷带的应用［J］. 中国实用乡村医生杂志， 2005（2）： 15.

YU J. Brief introduction of the application of medical elastic bandage［J］. Chin Pract J Rural Dr， 2005（2）： 15.（in Chinese）

陈开翠，黄义明，李凡，顾其胜，张君. 水溶性医用几丁糖治疗Ⅱ°烧伤创面的临床研究［J］. 上海生物医学工程， 2003， 24（4）： 36-39.

CHEN K C， HUANG Y M， LI F， et al. Clinical study of water-soluble medical chitosan in Ⅱ° burn wound［J］. Shanghai J Biomed Eng， 2003， 24（4）： 36-39.（in Chinese）

宋楷. 个案管理在预防PICU新生儿医源性皮肤损伤中的应用观察［J］. 罕少疾病杂志， 2021， 28（4）： 102-103.

SONG K. Application of case management in preventing latrogenic skin injury of PICU neonates［J］. J Rare Uncommon Dis， 2021， 28（4）： 102-103.（in Chinese）

张玉洁，李楠楠，巫浣玲，等. 康惠尔贴膜预防PICC置入儿童医用粘胶相关性皮肤损伤的意义探讨［J］. 中国实用医药， 2022， 17（12）： 154-156.

ZHANG Y J， LI N N， WU H L， et al. Discussion on the significance of Kanghuier film in preventing skin injury related to PICC placement in children［J］. China Pract Med， 2022， 17（12）： 154-156.（in Chinese）

李玮桐，杨富国，刘恒，等. 3M液体敷料预防早产儿PICC贴膜致医用粘胶相关性皮肤损伤的效果［J］. 齐鲁护理杂志， 2019， 25（5）： 56-59.

LI W T， YANG F G， LIU H， et al. Effect of 3M liquid dressing on prevention of skin injury caused by PICC film in premature infants［J］. J Qilu Nurs， 2019， 25（5）： 56-59.（in Chinese）

卞伶玲，杨金娜，赵益，等. 双腔Power PICC置管部位医用粘胶剂相关性皮肤损伤的风险预防管理［J］. 护理学报， 2019， 26（6）： 64-66.

BIAN L L， YANG J N， ZHAO Y， et al. Risk prevention and management of medical adhesive-related skin injury in double-cavity Power PICC catheter site［J］. J Nurs China， 2019， 26（6）： 64-66.（in Chinese）

李艳. 红外线灯照射对骨折患者术后切口愈合的影响［J］. 医疗装备， 2021， 34（24）： 137-138.

LI Y. Effect of infrared lamp irradiation on postoperative incision healing of fracture patients［J］. Med Equip， 2021， 34（24）： 137-138.（in Chinese）

GORSKI L A. The 2016 infusion therapy standards of practice［J］. Home Healthc Now， 2017， 35（1）： 10-18.

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