蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2015年
9期
1269-1271
,共3页
护理方法学研究%食管癌手术%经外周静脉穿刺中心静脉置管%健康教育
護理方法學研究%食管癌手術%經外週靜脈穿刺中心靜脈置管%健康教育
호리방법학연구%식관암수술%경외주정맥천자중심정맥치관%건강교육
nursing methodology research%esophageal cancer surgery%peripherally inserted central catheter%health education
目的::探讨知信行健康教育模式在食管癌手术患者经外周静脉穿刺中心静脉置管( PICC)护理中的应用及其效果分析。方法:将84例患者随机分为干预组和对照组各42例,对照组置管后行传统的健康教育模式,干预组采用知信行健康教育模式,包括健康教育、心理护理、出院前教会患者导管维护相关知识等。2组患者均随访3个化疗周期,比较2组患者导管维护依从性,导管相关并发症发生率、导管留置时间及患者对PICC置管的知信行水平。结果:干预组患者出现导管维护延迟例数与对照组差异无统计学意义(P>0.05),干预组导管维护延迟次数明显少于对照组(P<0.01);2组导管相关并发症发生率差异均无统计学意义(P>0.05);干预组导管留置时间明显长于对照组(P<0.01)。对照组知信行各维度评分均明显低于干预组(P<0.01)。结论:知信行健康教育模式应用于食管癌手术患者行PICC的护理中,提高了患者置管维护依从性,延长置管的留置时间,并提高患者的知信行水平,提高了临床护理质量。
目的::探討知信行健康教育模式在食管癌手術患者經外週靜脈穿刺中心靜脈置管( PICC)護理中的應用及其效果分析。方法:將84例患者隨機分為榦預組和對照組各42例,對照組置管後行傳統的健康教育模式,榦預組採用知信行健康教育模式,包括健康教育、心理護理、齣院前教會患者導管維護相關知識等。2組患者均隨訪3箇化療週期,比較2組患者導管維護依從性,導管相關併髮癥髮生率、導管留置時間及患者對PICC置管的知信行水平。結果:榦預組患者齣現導管維護延遲例數與對照組差異無統計學意義(P>0.05),榦預組導管維護延遲次數明顯少于對照組(P<0.01);2組導管相關併髮癥髮生率差異均無統計學意義(P>0.05);榦預組導管留置時間明顯長于對照組(P<0.01)。對照組知信行各維度評分均明顯低于榦預組(P<0.01)。結論:知信行健康教育模式應用于食管癌手術患者行PICC的護理中,提高瞭患者置管維護依從性,延長置管的留置時間,併提高患者的知信行水平,提高瞭臨床護理質量。
목적::탐토지신행건강교육모식재식관암수술환자경외주정맥천자중심정맥치관( PICC)호리중적응용급기효과분석。방법:장84례환자수궤분위간예조화대조조각42례,대조조치관후행전통적건강교육모식,간예조채용지신행건강교육모식,포괄건강교육、심리호리、출원전교회환자도관유호상관지식등。2조환자균수방3개화료주기,비교2조환자도관유호의종성,도관상관병발증발생솔、도관류치시간급환자대PICC치관적지신행수평。결과:간예조환자출현도관유호연지례수여대조조차이무통계학의의(P>0.05),간예조도관유호연지차수명현소우대조조(P<0.01);2조도관상관병발증발생솔차이균무통계학의의(P>0.05);간예조도관류치시간명현장우대조조(P<0.01)。대조조지신행각유도평분균명현저우간예조(P<0.01)。결론:지신행건강교육모식응용우식관암수술환자행PICC적호리중,제고료환자치관유호의종성,연장치관적류치시간,병제고환자적지신행수평,제고료림상호리질량。
Objective:To explore the effects of knowledge-attitude-practice ( KAP ) mode on peripherally inserted central catheter ( PICC) care in patients with esophageal surgery. Methods:Eighty-four patients were randomly divided into the control group and intervention group(42 cases in each group). The control group and intervention group were taught using routine health education mode and KAP mode ( including health education and psychological nursing, et al ) , respectively. Two groups were followed up for 3 chemotherapy cycles. The compliance of catheter maintenance,occurrence of catheter-related complication,keeping time of catheter and KAP of PICC between two groups were compared. Results:The difference of the case of catheter maintenance delay between two groups was not statistically significant(P>0. 05). The number of catheter maintenance delay in intervention group was significantly less than that in control group(P<0. 01). The difference of the occurrence of complication between two groups was not statistically significant (P>0. 05). The time of catheter indwelling time in intervention group was significantly longer than that in control group(P<0. 01). The scores of KAP in control group were significantly lower than those in intervention group(P<0. 01). Conclusions:The application of KAP mode in PICC patients with esophageal surgery can improve the compliance of patients,extend the catheter indwelling time, increase the knowledge of KAP and clinical nursing quality.