CAJ | 학술논문

目的通过行为研究影响乳腺癌患者术后经外周静脉置入中心静脉导管(PICC)置管上肢活动依从性的因素,制订切实可行的上肢活动方案,提高PICC置管患者上肢活动依从性.方法在甲乳外科选取乳腺癌术后行PICC置管化疗患者共75例进行上肢活动指导,应用戴明环方式,以计划、实施、整改、评估4个步骤进行螺旋式循环,实践2周,共完成2轮循环,评价活动方案的有效性和可行性,采用询问法评估患者上肢活动的依从性.结果经过实践细化护理程序,完善危险因素评估表,调整宣教时间等,使被干预乳腺癌术后PICC置管患者对上肢活动重要性的认知程度和接受程度得到了提高,活动的依从性良好.结论制订的上肢活动方案经过行动研究实践的修改及完善,能够提高患者上肢活动的依从性.
목적 통과행위연구영향유선암환자술후경외주정맥치입중심정맥도관(PICC)치관상지활동의종성적인소,제정절실가행적상지활동방안,제고PICC치관환자상지활동의종성.방법 재갑유외과선취유선암술후행PICC치관화료환자공75례진행상지활동지도,응용대명배방식,이계화、실시、정개、평고4개보취진행라선식순배,실천2주,공완성2륜순배,평개활동방안적유효성화가행성,채용순문법평고환자상지활동적의종성.결과 경과실천세화호리정서,완선위험인소평고표,조정선교시간등,사피간예유선암술후PICC치관환자대상지활동중요성적인지정도화접수정도득도료제고,활동적의종성량호.결론 제정적상지활동방안경과행동연구실천적수개급완선,능구제고환자상지활동적의종성.
Objective To investigate compliance of breast cancer patients with postoperative peripherally inserted central catheter (PICC) in terms of upper limb motion, to formulate practical plan of upper limb motion, and to improve the compliance in the patients with PICC catheter.Methods A total of 75 patients after breast cancer operation with PICC for chemotherapy were selected from Department of Thyroid and Breast Surgery for upper limb activity instructions.Plan-Do-Check-Act method was used to evaluate the feasibility and effectiveness.Two cycles were performed in two weeks.Patients' compliance was assessed by the inquiry method.Results After practicing and refining nursing process, perfecting the risk assessment table, adjusting the education time, etc., the cognition and acceptance of the significance of upper limb motion were improved in the patients.The compliance of the patients to the upper limb motion instructions was satisfactory.Conclusions The upper limb motion scheme in this study was modified and perfected through application, research, and practice.This scheme could enhance the compliance of patients in terms of upper limb motion.