Effect of bundle nursing on decreasing deep venous thrombosis in tumor patients with peripherally inserted central catheter catheterization

Objective: To observe the effects of bundle nursing on decreasing deep venous thrombosis in tumor patients with peripherally inserted central catheter(PICC) catheterization. Methods: Sixty-four tumor patients with PICC in 2013(control group) were treated with conventional nursing, and 68 tumor patients in 2014(experimental group) were treated with bundle nursing. The occurrence of deep venous thrombosis in two groups were observed. Results: (1)The cephalic vein in 7 cases from the experimental group(10.3%) and 28 cases from control group(43.8%), and the basilic vein in 61 cases from the experimental group(89.3%) and 36 cases from control group(56.2%) were selected, the differences of the relationship between puncture vein and thrombosis were statistically significant(P<0.01). The thrombosis in cephalic vein catheterization of 1 case from the experimental group(14.2%) and 5 cases from control group(17.9%), and basilic vein of 1 case from the experimental group(14.2%) and 6 cases from control group(16.7%) were found, the differences of the thrombosis in two groups were statistically significant(P<0.05). (2) The thrombosis in 1 case from the experimental group(1.5%) and 8 cases from control group(12.5%) were found after 2 weeks of catheterization, the difference of which was statistically significant(P<0.01). The thrombosis in 3 cases from the experimental group(4.4%) and 10 cases from control group(15.6%) were found after 2 months of catheterization, the difference of which was statistically significant(P<0.05). The thrombosis in 3 cases from the experimental group(4.4%) and 12 cases from control group(18.8%) were found during the whole course of catheterization, the difference of which was statistically significant(P<0.01). (3) For locating catheter in place at one time, the thrombosis in 65 cases from the experimental group(95.5%) and 53 cases from control group(82.8%) were found, the difference of which was statistically significant(P<0.05). For locating catheter in place at two time, the thrombosis in 67 cases from the experimental group(98.5%) and 61 cases from control group(95.3%) were found, the difference of which was not statistically significant(P>0.05). After adjusting the location of catheer, the thrombosis in 1 case from the experimental group(1.5%) and 8 cases from control group(12.5%) were found, the difference of which was statistically significant(P<0.05). Conclusions: The bundle nursing can decrease the occurrence of deep venous thrombosis caused by PICC, which is worthy of promotion in clinic.