Effects of Evidence-based Nursing in Preventing Complications of Peripherally Inserted Central Catheters in Patients with Advanced Gastric Cancer

Objective To investigate the effects of the improved evidence-based nursing in preventing complications after peripherally inserted central catheters(PICC) on patients with advanced gastric cancer.Methods From January 2009 to March 2010,62 patients with advanced gastric cancer who underwent PICC for the first time were divided randomly into observation group(N=38) to receive the evidence-based nursing programme and control group(N=24) to receive the routine nursing programme.Comparisons were conducted on the first-time success rate of puncture and the incidences of complications at first and second month after PICC.Results No significant difference was observed in the first-time success rate of puncture between the two groups(P0.05).After one month of PICC,no catheter defluxion occurred in both groups and no significant different was observed in the incidents of phlebitis,skin allergy and infections between the two groups(P0.05).At second month after PICC catheter,significant differences were observed in the incidents of phlebitis,skin allergy and infections between the two groups(P0.05).Conclusion Compared with the routine nursing programme,the evidence-based nursing programme is more effective in decreasing the incidence of complications after PICC catheter,and thus deserves further clinical popularization.