CAJ | 학술논문

目的：探讨系统化护理干预对经外周静脉植入中心静脉导管（PICC）肺癌化疗患者疾病不确定感及生活质量的的影响。方法将静脉留置 PICC 导管的肺癌化疗患者80例随机分为对照组（40例）和观察组（40例）。对照组患者接受 PICC 常规护理和健康教育，观察组在常规护理和健康教育的基础上实施系统化的护理干预。采用疾病不确定感量表（MUIS）和肿瘤患者生活质量量表（QOL）对两组患者进行问卷调查。结果观察组患者疾病不确定感下降幅度高于对照组，患者的生活质量高于对照组，差异均有统计学意义（P ＜0．05）。结论系统化的护理干预能明显降低静脉留置 PICC 导管肺癌化疗患者的不确定感，提高生活质量。
목적：탐토계통화호리간예대경외주정맥식입중심정맥도관（PICC）폐암화료환자질병불학정감급생활질량적적영향。방법장정맥류치 PICC 도관적폐암화료환자80례수궤분위대조조（40례）화관찰조（40례）。대조조환자접수 PICC 상규호리화건강교육，관찰조재상규호리화건강교육적기출상실시계통화적호리간예。채용질병불학정감량표（MUIS）화종류환자생활질량량표（QOL）대량조환자진행문권조사。결과관찰조환자질병불학정감하강폭도고우대조조，환자적생활질량고우대조조，차이균유통계학의의（P ＜0．05）。결론계통화적호리간예능명현강저정맥류치 PICC 도관폐암화료환자적불학정감，제고생활질량。
Objective To probe into the effect of systematic nursing intervention on disease uncertainty and quality of life of lung cancer patients undergoing chemotherapy with PICC.Methods 80 lung cancer pa-tients undergoing chemotherapy with venous indwelling PICC catheter were randomly divided into the con-trol group and the observation group with 40 patients in each group.The control group received PICC rou-tine care and health education,and the observation group were given additional systematic nursing inter-ventions.The uncertainty in illness scale (MUIS)and cancer patients′quality of life scale (QOL)ques-tionnaire adapted by professor Sun Yan were used to investigate the 80 lung cancer patients.Results After the systematic nursing intervention,the disease uncertainty drop of the patients in observation group was higher than in control group,and patient′s quality of life was higher than in control group (P <0.05,all had statistical significance).Conclusion The systematic nursing intervention can obviously decrease disease uncertainty and improve quality of life of lung cancer patients undergoing chemotherapy with ve-nous indwelling PICC catheter.