链条式综合性护理干预措施对肿瘤患者PICC置管的效果分析
|
摘要
目的探讨对肿瘤科患者施行经外周静脉穿刺中心静脉置管(PICC)链条式的综合性护理干预效果。方法选取2016年3月至2016年12月肿瘤科收治的PICC置管患者112例,随机分为对照组和观察组,每组56例。2组均进行常规护理,观察组在常规护理的基础上给予多媒体等综合性护理干预措施。采用Zung编制的焦虑自评量表(SAS)观察2组患者干预后焦虑状况的改善情况、PICC置管后并发症发生情况及患者的护理满意度比较。结果观察组综合性护理干预后、SAS评分(41. 35±1. 67)低于对照组(53. 98±1. 61),差异有统计学意义(t=5. 27,P <0. 05);并发症发生率(8. 93%)与对照组(17. 86%)比较,差异有统计学意义(χ2=21. 47,P <0. 05);护理满意度(96. 43%)高于对照组(89. 29%),差异有统计学意义(χ2=19. 54,P <0. 05)。结论对肿瘤科PICC置管患者施行综合性护理干预可明显减轻患者的焦虑情绪,降低患者并发症发生率,提高患者护理满意度,值得临床推广应用。
Objective To investigate the intervention effects of chain-type comprehensive nursing on cancer patients undergoing peripherally inserted central catheter( PICC) in oncology department. Methods A total of 112 patients with cancer who underwent PICC in our hospital from March 2016 to December 2016 were randomly divided into control group and observation group,with 56 cases in each group. The patients in both groups were given routine nursing care,on this basis,the patients in observation group were given multimedia and the other of comprehensive nursing intervention measures. The improvement status of anxiety condition,the incidence of complications after PICC and nursing satisfaction degree of patients were observed and compared between the two groups by using the self-rating anxiety scale made by Zung. Results After comprehensive nursing intervention,the SAS scores in observation group( 41. 35 ± 1. 67) were significantly lower than those( 53. 98 ± 1. 61) in control group( t = 5. 27,P < 0. 05). Moreover the incidence of complication in observation group was significantly lower than that in control group( 8. 93% vs 17. 86%,χ2= 21. 47,P < 0. 05). In addition the nursing satisfaction degree in observation group was higher than that in control group( 96. 43% vs 89. 29%,χ2= 19. 54,P < 0. 05). Conclusion The comprehensive nursing intervention for cancer patients receiving PICC in department of oncology can obviously relieve the anxiety emotions of patients,reduce the incidence of complications and improve the nursing satisfaction degree of patients,therefor,it is worthy of clinical application and promotion.
Objective To investigate the intervention effects of chain-type comprehensive nursing on cancer patients undergoing peripherally inserted central catheter( PICC) in oncology department. Methods A total of 112 patients with cancer who underwent PICC in our hospital from March 2016 to December 2016 were randomly divided into control group and observation group,with 56 cases in each group. The patients in both groups were given routine nursing care,on this basis,the patients in observation group were given multimedia and the other of comprehensive nursing intervention measures. The improvement status of anxiety condition,the incidence of complications after PICC and nursing satisfaction degree of patients were observed and compared between the two groups by using the self-rating anxiety scale made by Zung. Results After comprehensive nursing intervention,the SAS scores in observation group( 41. 35 ± 1. 67) were significantly lower than those( 53. 98 ± 1. 61) in control group( t = 5. 27,P < 0. 05). Moreover the incidence of complication in observation group was significantly lower than that in control group( 8. 93% vs 17. 86%,χ2= 21. 47,P < 0. 05). In addition the nursing satisfaction degree in observation group was higher than that in control group( 96. 43% vs 89. 29%,χ2= 19. 54,P < 0. 05). Conclusion The comprehensive nursing intervention for cancer patients receiving PICC in department of oncology can obviously relieve the anxiety emotions of patients,reduce the incidence of complications and improve the nursing satisfaction degree of patients,therefor,it is worthy of clinical application and promotion.
引文
1孙玉珍,王清国.超声检查在经外周静脉穿刺中心静脉置管中的应用.滨州医学院学报,2013,36:198-200.
2 王敏,贾月霞.探讨PICC在肿瘤护理中的临床应用分析.中国保健营养,2013,2:119-121.
3 昌吉梅.肿瘤化疗患者PICC置管后常见并发症分析及护理对策.中外医学研究,2015,13:87-89.
4 李菲,赵季霞,王楠.探讨PICC在肿瘤护理中的临床应用分析.生物技术世界,2014,11:110-111.
5 汪向东,王希林,马弘主编.心理卫生评定量表手册(增订版).北京:中国心理卫生杂志社,1999. 31-35.
6 张珍珍,吴贤翠.综合护理干预对消化道肿瘤PICC置管患者负性情绪及疼痛的影响.实用临床医药杂志,2015,19:26-27,34.
7 陈蓓.消化道肿瘤PICC置管患者负面情绪发生与相关并发症的关系及护理干预分析.现代消化及介入诊疗,2016,21:277-279.
8 何莉,焦红侠,张玉莲.个性化护理在肿瘤患者化疗期间PICC置管中的应用.中华现代护理杂志,2015,21:2668-2690.
9 谢建梅,王曙红,谭江红. PICC置管患者舒适度研究进展.齐鲁护理杂志,2016,22:52-53.
10 杨莉.健康教育干预对肿瘤外科PICC置管患者依从性及自我护理能力的影响.中国现代医生,2015,53:155-157.
2 王敏,贾月霞.探讨PICC在肿瘤护理中的临床应用分析.中国保健营养,2013,2:119-121.
3 昌吉梅.肿瘤化疗患者PICC置管后常见并发症分析及护理对策.中外医学研究,2015,13:87-89.
4 李菲,赵季霞,王楠.探讨PICC在肿瘤护理中的临床应用分析.生物技术世界,2014,11:110-111.
5 汪向东,王希林,马弘主编.心理卫生评定量表手册(增订版).北京:中国心理卫生杂志社,1999. 31-35.
6 张珍珍,吴贤翠.综合护理干预对消化道肿瘤PICC置管患者负性情绪及疼痛的影响.实用临床医药杂志,2015,19:26-27,34.
7 陈蓓.消化道肿瘤PICC置管患者负面情绪发生与相关并发症的关系及护理干预分析.现代消化及介入诊疗,2016,21:277-279.
8 何莉,焦红侠,张玉莲.个性化护理在肿瘤患者化疗期间PICC置管中的应用.中华现代护理杂志,2015,21:2668-2690.
9 谢建梅,王曙红,谭江红. PICC置管患者舒适度研究进展.齐鲁护理杂志,2016,22:52-53.
10 杨莉.健康教育干预对肿瘤外科PICC置管患者依从性及自我护理能力的影响.中国现代医生,2015,53:155-157.