中国药物滥用防治杂志

目的：探讨基于循证护理理论的经外周静脉穿刺中心静脉导置管（PICC）体位管理对肺癌术后患者并发症的影响。方法：选取2020年1月—2023年1月本院收治的200例肺癌患者为对象，按照随机数字表法分为观察组与对照组。对照组采用常规护理，观察组采用基于循证护理理论体位管理。比较两组并发症、术后康复效果及护理满意度。结果：观察组并发症发生率为5.00%，低于对照组的40.00%(P<0.05)；观察组重度疼痛占比低于对照组（P<0.05）；观察组服务态度、服务技能、服务质量、护理效果评分高于对照组（P<0.05）。结论：基于循证护理理论的体位管理可减少肺癌术后PICC置管患者并发症，减轻其疼痛感，提高患者的满意度。

Objective: To explore the effect of peripherally inserted central catheter(PICC) position management based on evidence-based nursing theory on postoperative complications of patients with lung cancer. Methods: A total of 200 patients with lung cancer admitted to our hospital from January 2020 to January 2023 were selected as subjects and divided into observation group and control group according to the random number table method. The control group was given routine nursing, and the observation group was given position management based on evidence-based nursing theory. The complications, postoperative rehabilitation effect and nursing satisfaction were compared between the two groups. Results: The incidence of complications in the observation group was 5.00%, which was lower than 40.00% in the control group(P<0.05). The proportion of severe pain in the observation group was lower than that in the control group(P<0.05). The scores of service attitude, service skills, service quality and nursing effect in the observation group were higher than those in the control group(P<0.05). Conclusion: Posture management based on evidence-based nursing theory can reduce the complications of patients with PICC catheterization after lung cancer surgery, reduce their pain, and improve patient satisfaction.