自我强化管理教育对中心静脉导管化疗乳腺癌病人自我带管管理能力的影响
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摘要
目的探讨自我强化管理教育对于经外周静脉穿刺置入中心静脉导管(PICC)化疗的乳腺癌病人带管期间自我管理能力的影响。方法乳腺癌病人130例,均行PICC化疗。采用随机数字表法将130例病人分为强化组和对照组,每组各65例,强化组给予自我强化管理教育措施干预,对照组仅给予一般护理及指导,观察两组干预前后的PICC自我管理能力(CPPSM)量表评分、PICC留置时间、带管期间并发症率。结果干预前,强化组和对照组的日常生活管理、维护依从性管理、运动管理、信息获取、日常导管观察、异常情况处理、导管管理信心及CPPSM评分比较差异均无统计学意义(P>0.05);干预后,强化组的日常生活管理、维护依从性管理、运动管理、信息获取、日常导管观察、异常情况处理、导管管理信心及CPPSM评分均高于对照组(P<0.05);强化组的平均带管时间长于对照组(P<0.05);强化组的并发症率为1.59%,对照组为11.48%,两组比较差异有统计学意义(P<0.05)。结论自我强化管理教育可提升PICC化疗的乳腺癌病人带管期间自我管理相关评分,降低并发症发生率。
Objective To explore the effect of self strengthening management education on self-management ability of breast cancer patients undergoing peripherally inserted central venous catheterization(PICC)chemotherapy.Methods 130 patients with breast cancer who received PICC chemotherapy were selected.They were randomly divided into intensive group and control group with 65 cases in each group.The intensive group was given self-reinforcement management education intervention,while the control group was only given general nursing and guidance.The PICC self-management ability of the two groups before and after intervention was observed(CPPSM)scale score,PICC retention time,and complication rate during tube operation.Results Before intervention,there was no significant difference in daily life management,maintenance compliance management,sports management,information acquisition,daily catheter observation,abnormal handling,catheter management confidence and CPPSM score between the intensive group and the control group(P>0.05).Exercise management,information acquisition,routine catheter observation,exception handling,catheter management confidence and CPPSM scores were significantly higher than those in the control group(P<0.05),the average tube time of the intensive group was longer than that in the control group(P<0.05),and the complication rate in the intensive group was 1.59%,significantly lower than that in the control group(11.48%)(P<0.05).Conclusion Self strengthening management education can improve the self-management score of breast cancer patients with PICC chemotherapy and reduce the complication rate.
Objective To explore the effect of self strengthening management education on self-management ability of breast cancer patients undergoing peripherally inserted central venous catheterization(PICC)chemotherapy.Methods 130 patients with breast cancer who received PICC chemotherapy were selected.They were randomly divided into intensive group and control group with 65 cases in each group.The intensive group was given self-reinforcement management education intervention,while the control group was only given general nursing and guidance.The PICC self-management ability of the two groups before and after intervention was observed(CPPSM)scale score,PICC retention time,and complication rate during tube operation.Results Before intervention,there was no significant difference in daily life management,maintenance compliance management,sports management,information acquisition,daily catheter observation,abnormal handling,catheter management confidence and CPPSM score between the intensive group and the control group(P>0.05).Exercise management,information acquisition,routine catheter observation,exception handling,catheter management confidence and CPPSM scores were significantly higher than those in the control group(P<0.05),the average tube time of the intensive group was longer than that in the control group(P<0.05),and the complication rate in the intensive group was 1.59%,significantly lower than that in the control group(11.48%)(P<0.05).Conclusion Self strengthening management education can improve the self-management score of breast cancer patients with PICC chemotherapy and reduce the complication rate.
引文
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[11] 李兰珍,王凤玲,刘松霞,等.健康教育路径管理对乳腺癌 PICC 置管患者的效果评价[J].山东医学高等专科学校学报,2017,27(6):45-47.
[12] 李芳,李莉,王传英,等.留置PICC的乳腺癌病人个体化自我管理教育效果观察[J].护理研究,2018,32(3):482-484.
[13] 屈敏,吴小香.自我管理健康教育在乳腺癌患者PICC留置初期的应用[J].齐鲁护理杂志,2017,23(22):87-90.
[14] 秦烨,刘颖,李小宁,等.乳腺癌化疗患者PICC置管并发症的原因分析及护理[J].护理实践与研究,2016,13(4):82-83.
[15] 李阅,王珊.集束化管理结合健康教育对留置PICC的乳腺癌患者营养状态及生存质量的影响[J].中国临床研究,2017,30(4):566-568.
[2] Knaus WJ,Kamali P,Chun Y,et al.Breast Capsular Cerebrospinal Fluid Collection from Migration of a Ventriculoperitoneal Shunt Catheter[J].Plastic and Reconstructive Surgery-Global Open,2016,4(3):640-642.
[3] 何莉丽,李洪霞,赵玉凤.健康教育检核表在PICC日常生活护理中的应用[J].护理实践与研究,2016,13(17):133-135.
[4] 朱春芳.健康教育对中心静脉导管胸腔置管患者的影响[J].中国现代医生,2014,52(28):113-116.
[5] 张月娟,官海琴.不同健康教育模式在肿瘤患者经外周静脉置入中心静脉导管护理中的应用[J].宁夏医学杂志,2014,36(07):664-665.
[6] 吕淑贞,李艳萍,赵霞,等.静脉留置针持续负压引流治疗乳腺癌术后皮下积液[J].癌症进展,2018,16(1):120-122.
[7] Aristei C,Palumbo I,Capezzali G,et al.Outcome of a phase II prospective study on partial breast irradiation with interstitial multi-catheter high-dose-rate brachytherapy[J].Radiotherapy and Oncology,2013,108(2):236-241.
[8] 余瑶.PICC置管患者延续护理中实施健康教育路径管理的价值分析[J].临床医药文献电子杂志,2017,27(66):12975-12976.
[9] 李芳,李莉,王珊珊,等.个体化自我管理教育对乳腺癌病人PICC并发症发生情况的影响[J].护理研究,2018,32(4):606-608.
[10] 袁静华,李勤,陆建芳.对PICC置管患者实施健康教育路径管理效果评价的研究[J].实用临床医药杂志,2014,18(8):85-86.
[11] 李兰珍,王凤玲,刘松霞,等.健康教育路径管理对乳腺癌 PICC 置管患者的效果评价[J].山东医学高等专科学校学报,2017,27(6):45-47.
[12] 李芳,李莉,王传英,等.留置PICC的乳腺癌病人个体化自我管理教育效果观察[J].护理研究,2018,32(3):482-484.
[13] 屈敏,吴小香.自我管理健康教育在乳腺癌患者PICC留置初期的应用[J].齐鲁护理杂志,2017,23(22):87-90.
[14] 秦烨,刘颖,李小宁,等.乳腺癌化疗患者PICC置管并发症的原因分析及护理[J].护理实践与研究,2016,13(4):82-83.
[15] 李阅,王珊.集束化管理结合健康教育对留置PICC的乳腺癌患者营养状态及生存质量的影响[J].中国临床研究,2017,30(4):566-568.