经外周静脉置入中心静脉导管患者对相关知识掌握程度和行为的调查
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摘要
目的了解经外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)患者对相关知识掌握程度及行为表现,并分析其影响因素,以期帮助护理人员改进健康宣教方法,提高留置PICC患者的自我维护及异常处置能力。方法2016年12月至2017年2月,便利抽样法选取上海市某三级甲等医院留置PICC的患者103例为研究对象。采用自行设计的PICC知识掌握现状及行为表现问卷对其进行调查。结果本组患者标准化知识总分为(74.872±12.100)分,标准化行为总分为(53.170±4.266)分。不同性别、年龄、文化程度及是否罹患肿瘤的患者,其知识总得分、行为总得分、日常维护知识得分、日常维护行为得分、异常处置知识得分及异常处置行为得分的差异均无统计学意义(均P>0.05);不同职业的患者,其知识总得分、行为总得分、异常处置知识得分的差异有统计学意义(均P<0.05);不同置管时间的患者,其异常处置行为得分的差异有统计学意义(P<0.05)。有82.52%的患者觉得PICC的定期维护影响正常生活;有65.05%的患者觉得到医院进行PICC维护不方便;49.51%的调查对象有关PICC的相关知识获取来源单一,仅为医护人员口头宣教。结论护理人员应采用多样化方法,在不同时段对留置PICC的患者进行有计划、系统、全面的健康宣教。
Objective To investigate the knowledge and behavior of patients with PICC and its influencing factors,in order to improve health education and the ability of self-maintenance and problem solving among PICC patients.Methods By convenience sampling method,a total of 103 PICC patients from the third-class hospital in Shanghai were selected and investigated by self-designed questionnaire.Results The total score of the knowledge in PICC patients was(74.872±12.100),the score of the behavior was(53.170±4.266).There were no significant differences in total scores of knowledge and behavior,"the knowledge of daily maintenance","the behavior of daily maintenance","the knowledge of problem-solving ability"and"the behavior of problem-solving ability"a mong patients with different gender,age,education and whether they had cancer(all P>0.05).There were significant differences in the total scores of knowledge,behavior and problem-solving ability among patients with different occupations(all P<0.05).The score of accident handling among patients with different catheterization time was statistically significant(P<0.05).There were 82.52% of the patients felt that regular maintenance of PICC a ffected their normal life;65.05% of the patients felt inconvenience to maintain PICC in the hospital;and 49.51% of the respondents only received verbal health education from doctors and nurses.Conclusions Nurses should adopt diverse methods for planned,systematic and comprehensive health education among PICC patients at different times.
Objective To investigate the knowledge and behavior of patients with PICC and its influencing factors,in order to improve health education and the ability of self-maintenance and problem solving among PICC patients.Methods By convenience sampling method,a total of 103 PICC patients from the third-class hospital in Shanghai were selected and investigated by self-designed questionnaire.Results The total score of the knowledge in PICC patients was(74.872±12.100),the score of the behavior was(53.170±4.266).There were no significant differences in total scores of knowledge and behavior,"the knowledge of daily maintenance","the behavior of daily maintenance","the knowledge of problem-solving ability"and"the behavior of problem-solving ability"a mong patients with different gender,age,education and whether they had cancer(all P>0.05).There were significant differences in the total scores of knowledge,behavior and problem-solving ability among patients with different occupations(all P<0.05).The score of accident handling among patients with different catheterization time was statistically significant(P<0.05).There were 82.52% of the patients felt that regular maintenance of PICC a ffected their normal life;65.05% of the patients felt inconvenience to maintain PICC in the hospital;and 49.51% of the respondents only received verbal health education from doctors and nurses.Conclusions Nurses should adopt diverse methods for planned,systematic and comprehensive health education among PICC patients at different times.
引文
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[3]张莉莉,应燕萍,凌瑛,等.恶性肿瘤患者PICC日常管理的知信行调查分析[J].全科护理,2015,13(4):289-291.
[4]张明.肿瘤患者PICC留置期间自我护理能力及其影响因素研究[D].济南:山东大学,2014.
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[6]束寒玲,戴文君,张小华,等.电话回访在肿瘤患者PICC置管延续护理中的应用效果[J].中国护理管理,2016,16(4):535-539.
[7]邾萍,刘建红,孟爱凤,等.肿瘤患者PICC留置初期自我管理能力及其影响因素研究[J].中国护理管理,2015,15(12):1509-1513.
[8]池小锋.护理程序式健康教育应用于留置PICC乳腺癌患者的效果研究[D].青岛:青岛大学,2013.
[9]文琼,任道琼,黄祥菊,等.健康教育卡在肿瘤患者PICC置管护理中的应用[J].护理管理杂志,2009,9(9):43-44.
[10]王松峰,英静静,刘志明,等.基于微信的延续性护理在患者PICC院外自我维护中的应用[J].护理管理杂志,2015,15(3):215-216.
[11]罗素芹,张丽萍.肿瘤患者对在社区医院开展PICC维护门诊服务的需求调查[J].当代护士:学术版,2015(6):92-93.
[12]罗红,任道琼,谭静,等.医院-社区-家庭一体化PICC维护网络模式的构建与实施[J].护理学杂志,2013,28(14):16-18.
[13]陈影洁,黄剑施,简黎,等.中山市PICC维护网的建立与实施[J].护理学报,2015,22(23):30-33.
[14]乔美珍,杨益群,熊威,等.PICC维护技术在基层社区医院推广应用的研究[J].护士进修杂志,2011,26(19):1759-1760.
[2]魏华,赵庆华.运用品管圈提高PICC带管出院患者导管维护知信行水平的实践[J].中国护理管理,2015,15(1):68-71.
[3]张莉莉,应燕萍,凌瑛,等.恶性肿瘤患者PICC日常管理的知信行调查分析[J].全科护理,2015,13(4):289-291.
[4]张明.肿瘤患者PICC留置期间自我护理能力及其影响因素研究[D].济南:山东大学,2014.
[5]孙媛媛.PICC置管患者健康教育效果评价现状及指标体系的构建[D].济南:山东大学,2016.
[6]束寒玲,戴文君,张小华,等.电话回访在肿瘤患者PICC置管延续护理中的应用效果[J].中国护理管理,2016,16(4):535-539.
[7]邾萍,刘建红,孟爱凤,等.肿瘤患者PICC留置初期自我管理能力及其影响因素研究[J].中国护理管理,2015,15(12):1509-1513.
[8]池小锋.护理程序式健康教育应用于留置PICC乳腺癌患者的效果研究[D].青岛:青岛大学,2013.
[9]文琼,任道琼,黄祥菊,等.健康教育卡在肿瘤患者PICC置管护理中的应用[J].护理管理杂志,2009,9(9):43-44.
[10]王松峰,英静静,刘志明,等.基于微信的延续性护理在患者PICC院外自我维护中的应用[J].护理管理杂志,2015,15(3):215-216.
[11]罗素芹,张丽萍.肿瘤患者对在社区医院开展PICC维护门诊服务的需求调查[J].当代护士:学术版,2015(6):92-93.
[12]罗红,任道琼,谭静,等.医院-社区-家庭一体化PICC维护网络模式的构建与实施[J].护理学杂志,2013,28(14):16-18.
[13]陈影洁,黄剑施,简黎,等.中山市PICC维护网的建立与实施[J].护理学报,2015,22(23):30-33.
[14]乔美珍,杨益群,熊威,等.PICC维护技术在基层社区医院推广应用的研究[J].护士进修杂志,2011,26(19):1759-1760.