门诊PICC患者家庭功能与自我护理能力和健康行为的相关性研究
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摘要
目的:探讨门诊PICC患者的家庭功能情况,及其与自我护理能力和健康行为的相关性。方法:运用横断面调查的方法,采用一般资料调查表、家庭功能评定量表、自我护理能力测定量表和健康促进生活方式量表对PICC门诊进行导管维护的130名患者进行调查。结果:患者的家庭功能评定量表总分为(2.30±0.31)分,自我护理能力测定量表总分为(2.18±0.41)分,健康促进生活方式量表总分为(2.55±0.38)分。患者的家庭功能得分与自我护理能力、健康行为呈负相关(P<0.05)。结论:门诊PICC患者的家庭功能可影响自我护理能力和健康行为,应进一步提高患者的家庭功能。
Objective: To explore the correlation of family function and self-care, and health behaviors in outpatients with PICC. Methods : A total of 130 outpatients with PICC were recruited and investigated with the general information questionnaire, the family assessment device, the exercise of self-care agency scale; and the health promotion life style II.Results: The mean score of the family assessment device was(2.30 ± 0.31); the mean score of the exercise of Self-Care Agency scale was(2.18 ± 0.41), and the mean score of the health promotion life style II was(2.55 ± 0.38). The score of the family assessment device was negative correlated with self-care and health behaviors(P<0.05). Conclusion: Since family can affect self-care and health behaviors among PICC outpatients, further improvement in family function is necessary.
Objective: To explore the correlation of family function and self-care, and health behaviors in outpatients with PICC. Methods : A total of 130 outpatients with PICC were recruited and investigated with the general information questionnaire, the family assessment device, the exercise of self-care agency scale; and the health promotion life style II.Results: The mean score of the family assessment device was(2.30 ± 0.31); the mean score of the exercise of Self-Care Agency scale was(2.18 ± 0.41), and the mean score of the health promotion life style II was(2.55 ± 0.38). The score of the family assessment device was negative correlated with self-care and health behaviors(P<0.05). Conclusion: Since family can affect self-care and health behaviors among PICC outpatients, further improvement in family function is necessary.
引文
[1]仇春勤.肿瘤患者PICC置管相关感染的研究进展[J].护士进修杂志,2013,28(24):2261-2264.
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[3]蔡芳芳,路雪芹.认知行为干预对PICC置管患者生活质量的影响[J].河南医学研究,2013,22(2):270-273.
[4]Miller K D,Dietrick C L.Experience with PICC at a university medical center[J].Journal of Infusion Nursing,1997,20(3):141-147.
[5]焦月新,李春梅,钟利连,等.健康教育和流程管理在肿瘤患者PICC置管带管回家中的应用[J].海南医学,2012,23(2):147-149.
[6]蔡淑华,张兰凤.电话随访在PICC带管出院癌症病人中的应用[J].护理研究,2014,28(11):1366-1368.
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[10]程若莺,孟丽娜,王缘.脑卒中患者家庭功能及干预研究现状[J].护理学报,2010,17(11):10-13.
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[13]Miller IW,Epstein NB,Bishop DS,et al.The McMaster family assessment device:reliability and validity[J].J Marital Fam Ther,1985,11(4):345-356.
[14]梅思娟,段培蓓.知-信-行健康教育模式对PICC置管肿瘤患者自我护理能力的影响[J].中华现代护理杂志,2012,18(13):1546-1549.
[15]Wang H,Laffrey S C.Preliminary development and testing of instruments to measure self-care agency and social support of women in Taiwan[J].The Kaohsiung journal of medical sciences,2000,16(9):459-467.
[16]董彦君,代莉莉.网络化健康教育对超声引导PICC置管患者依从性、自我护理能力、健康行为及不良事件的影响[J].河北医药,2016,38(11):1745-1747.
[17]Walker S N,Sechrist K R,Pender N J.The health-promoting lifestyle profile:development and psychometric characteristics[J].Nursing research,1987,36(2):76-81.
[18]邵敏.癌症患者PICC置管期间自我护理能力及影响因素研究[D].济南:山东大学,2017.
[19]钱玉兰,陆勤美,张兰凤,等.实施健康教育路径对PICC置管病人导管相关并发症和自我管理能力的影响[J].护理研究,2014,28(13):1602-1604.
[20]罗淑娟,李燕,洪丽霞,等.PICC置管在肿瘤化疗中的应用及护理[J].岭南现代临床外科,2006,6(1):79-80.
[21]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.
[22]张明,高伟,孙媛媛,等.肿瘤患者PICC带管期间自我护理能力与心理一致感及社会支持的相关性研究[J].护理学杂志,2014,29(8):78-80.
[23]芦婳,程云,夏文兰,等.PICC带管病人生活体验的质性研究[J].护理研究,2013,27(18):1865-1868.
[2]Bowe-Geddes L A,Nichols H A.An overview of peripherally inserted central catheters[J].Topics in Advanced Practice Nursing,2005,5(3):1-8.
[3]蔡芳芳,路雪芹.认知行为干预对PICC置管患者生活质量的影响[J].河南医学研究,2013,22(2):270-273.
[4]Miller K D,Dietrick C L.Experience with PICC at a university medical center[J].Journal of Infusion Nursing,1997,20(3):141-147.
[5]焦月新,李春梅,钟利连,等.健康教育和流程管理在肿瘤患者PICC置管带管回家中的应用[J].海南医学,2012,23(2):147-149.
[6]蔡淑华,张兰凤.电话随访在PICC带管出院癌症病人中的应用[J].护理研究,2014,28(11):1366-1368.
[7]冯希源,廖书娟,罗碧如.妇科化疗患者自我护理能力与健康行为的相关性研究[J].中华现代护理杂志,2013,19(11):1245-1248.
[8]周美玲.健康教育路径对PICC置管肿瘤患者自我护理能力和早期导管相关并发症的影响效果研究[D].合肥:安徽医科大学,2010.
[9]江思思,沈利平,阮恒芳,等.脑卒中患者家庭功能与健康行为的调查研究[J].中华护理杂志,2014,49(7):849-853.
[10]程若莺,孟丽娜,王缘.脑卒中患者家庭功能及干预研究现状[J].护理学报,2010,17(11):10-13.
[11]Epstein N B,Baldwin L M,Bishop D S.The McMaster family assessment device[J].Journal of marital and family therapy,1983,9(2):171-180.
[12]郑艳,方婷婷,唐英,等.新疆地区肿瘤化疗间歇期PICC患者家庭功能与导管自我管理能力的相关研究[J].护理管理杂志,2015,15(6):395-397.
[13]Miller IW,Epstein NB,Bishop DS,et al.The McMaster family assessment device:reliability and validity[J].J Marital Fam Ther,1985,11(4):345-356.
[14]梅思娟,段培蓓.知-信-行健康教育模式对PICC置管肿瘤患者自我护理能力的影响[J].中华现代护理杂志,2012,18(13):1546-1549.
[15]Wang H,Laffrey S C.Preliminary development and testing of instruments to measure self-care agency and social support of women in Taiwan[J].The Kaohsiung journal of medical sciences,2000,16(9):459-467.
[16]董彦君,代莉莉.网络化健康教育对超声引导PICC置管患者依从性、自我护理能力、健康行为及不良事件的影响[J].河北医药,2016,38(11):1745-1747.
[17]Walker S N,Sechrist K R,Pender N J.The health-promoting lifestyle profile:development and psychometric characteristics[J].Nursing research,1987,36(2):76-81.
[18]邵敏.癌症患者PICC置管期间自我护理能力及影响因素研究[D].济南:山东大学,2017.
[19]钱玉兰,陆勤美,张兰凤,等.实施健康教育路径对PICC置管病人导管相关并发症和自我管理能力的影响[J].护理研究,2014,28(13):1602-1604.
[20]罗淑娟,李燕,洪丽霞,等.PICC置管在肿瘤化疗中的应用及护理[J].岭南现代临床外科,2006,6(1):79-80.
[21]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.
[22]张明,高伟,孙媛媛,等.肿瘤患者PICC带管期间自我护理能力与心理一致感及社会支持的相关性研究[J].护理学杂志,2014,29(8):78-80.
[23]芦婳,程云,夏文兰,等.PICC带管病人生活体验的质性研究[J].护理研究,2013,27(18):1865-1868.