系统化护理干预对基层医院PICC置管患者自我管理能力的影响

摘要
图/表
参考文献(15)
相关文章 (15)

全文: PDF (0 KB) HTML (32 KB)
输出: BibTeX | EndNote (RIS)

摘要目的探讨系统化护理干预对基层医院经外周静脉穿刺中心静脉置管（PICC）患者自我管理能力、置管并发症发生率的影响。方法选取2018年1～12月我院PICC 置管的40 例患者为干预组，2018年1～12月在外院置管，第1 次到我院进行导管维护的46 例患者为对照组。干预组接受系统化的护理干预，对照组接受置管医院的健康教育。比较两组的PICC 自我管理能力和导管并发症的发生率。结果干预组的自我管理能力总分为（152.11±4.51）分，高于对照组的（125.48±6.61）分，且日常导管观察、导管维护依从性、导管管理信心、异常情况处理、信息获取、带管运动、带管日常生活等7 个维度评分高于对照组；干预组的导管并发症总发生率（5.00%）低于对照组（19.57%），差异均有统计学意义（P＜0.05）。结论系统化护理干预对提高PICC 患者导管自我管理能力，降低导管并发症的发生率有积极的促进作用。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章

关键词 ：系统化, 护理干预, 经外周静脉穿刺中心静脉置管, 自我管理能力

Abstract：Objective To explore the effect of nursing intervention on the self-management ability of peripherally inserted central catheter (PICC) patients in primary hospitals. Methods A total of 40 patients who underwent PICC catheterization in our hospital from January to December 2018 and who were hospitalized for the first time were selected as intervention group. A total of 46 patients who underwent PICC catheterization in external hospital from January to December 2018 and who were hospitalized for the first time were selected as control group. The intervention group received systematic nursing intervention, the control group received health education from the hospital. Self management ability of PICC and incidence of catheter complications between the two groups were compared. Results The self-management ability of the intervention group was (152.11±4.51) points, higher than that of the control group of (125.48±6.61) points, and the scores of daily catheter observation, catheter maintenance compliance, catheter management confidence, abnormal situation handling, information acquisition, exercise with catheter, daily life with catheter were higher than those of the control group, the differences were statistically significant (P＜0.05). The total incidence of catheter complication in the intervention group (5.00%), which was lower than that of the control group (19.57%), and the difference was statistically significant (P＜0.05. Conclusion Systematic nursing interventions have positive effect on improving the self-management ability of catheters in PICC patients and reducing the incidence of catheter complications.

Key words： Systematize Nursing intervention Peripherally inserted central cathete Ability of self-management

收稿日期: 2020-04-15

引用本文:

刘广平；张建新. 系统化护理干预对基层医院PICC置管患者自我管理能力的影响[J]. 中国当代医药, 2020, 27(29): 231-233.
LIU Guang-ping ZHANG Jian-xin. Effect of systematic nursing intervention on self-management ability of patients with peripherally inserted central catheter in primary hospitals. 中国当代医药, 2020, 27(29): 231-233.

链接本文:

https://www.dangdaiyiyao.com/CN/ 或 https://www.dangdaiyiyao.com/CN/Y2020/V27/I29/231

[1]	静脉治疗护理技术操作规范[S].北京：中华人民共和国国家卫生健康委员会，2013.
[2]	赖丽芳，徐小红.基层医院肿瘤病人PICC 置管依从性现状及干预效果分析[J].护理研究，2018，32（14）：2269-2271.
[3]	董玉娇，王爱红.PICC 带管患者自我管理能力现状及影响因素分析[J].齐鲁护理杂志，2018，24（13）：96-99.
[4]	余倩，王艳华，段春华，等.PICC 自我维护质量评估表的设计在带管患者健康宣教中的应用[J].当代护士，2013，（8）：148-150.
[5]	刘春丽，颜美琼，陆箴琦，等.肿瘤患者PICC 自我管理能力量表的构建及测评[J].护理学杂志，2012，27（23）：1-4.
[7]	李青荷，陈立萍，徐霞.护理干预提高肿瘤患者PICC 置管术的依从性[J]．江苏医药，2010，36（3）：287-289.
[8]	李莉.护理干预对PICC 置管患者导管维护依从性的影响[J].解放军护理杂志，2014，31（17）：64-66.
[9]	夏娟，邱蓉. 系统化健康教育对乳腺癌化疗患者PICC 管道自我管理能力水平及化疗依从性的影响[J].长春中医药大学学报，2020，36（1）：144-147.
[10]	陈梦瑾，李海香，黄春香，等.同伴教育对肿瘤患者PICC自我管理能力和并发症的影响[J].护理学报，2018，25（8）：75-78.
[11]	任晓敏，李丽，徐英华，等.互助小组自我管理在PICC 肿瘤患者的应用观察[J].护理学报，2015，22（24）：60-62.
[6]	Toure A，Duchamp A，Peraldi C，et al.A comparative study of Peripherally-inserted and Broviac cathter complications in home parenteral nutrition patients[J].Clin Nutr，2015，34（1）：49-52.
[12]	沈兰.院外护理模式在提高PICC 患者自我护理能力中的应用[J].当代护士，2017，（2）：135-137.
[13]	张晓磊.延续护理在PICC 置管的肿瘤患者中应用效果分析[D].延吉：延边大学，2016.
[14]	李瑞平，武燕莹，何肖华.静疗小组在肿瘤晚期患者PICC置管中的应用[J].齐鲁护理杂志，2020，26（3）：88-91.
[15]	王莉，李红梅.PICC 置管患者导管维护依从性现状调查及护理干预[J].实用临床护理学电子杂志，2019，4（2）：118.