电话回访在肿瘤患者PICC置管延续护理中的应用效果

The effect of telephone follow-up on transitional care of cancer patients with PICC

目的 :评价电话回访在肿瘤患者PICC置管延续护理中应用的可行性及效果。方法 :选取我院126例PICC置管首次带管出院的肿瘤患者,区组化随机分组为干预组和对照组,对照组63例在首次带管出院后实施常规出院护理,干预组63例在常规护理的基础上由PICC专科护士采用分阶段电话回访的方式实施PICC导管自我管理的健康教育。比较干预后1个月、3个月时两组患者导管并发症、导管自我管理能力和对PICC导管护理满意度的差异。结果 :干预前两组患者导管并发症发生率、自我管理能力以及护理满意度比较差异无统计学意义(P>0.05)。在干预后1个月及干预后3个月,干预组导管自我管理能力及护理满意度高于对照组(P<0.05);干预后3个月内干预组导管静脉炎、导管堵塞发生率低于对照组,差异有统计学意义(P<0.05)。结论 :科学、规范的电话回访在肿瘤患者PICC置管延续护理中有显著作用,提高了肿瘤患者导管自我管理能力和对PICC导管护理的满意度,降低了导管并发症的发生率,保障了患者使用导管的安全性,体现了我院优质护理在院外的延续。

Objective： This study aimed to investigate the feasibility and effect of telephone follow-up on transitional care of cancer patients with PICC. Methods： Totally 126 cancer patients were assigned into intervention group and control group by using blocked randomization with 63 patients in each group. Patients in control group received routine care, while those in experimental group were educated for PICC self-management using telephone follow-up in addition to routine care. Then the catheter complications, catheter self-management skills and patients＇ satisfaction towards PICC care were compared between the two groups one month and three months after the intervention respectively. Results： There was no statistically significant difference in terms of the incidence of catheter complications, self-management skills and satisfaction towards PICC care between the two groups before the intervention （P〉0.05）. After the intervention, the scores of catheter self-management skills and catheter caring satisfaction in the experimental group were higher than those in the control group both in one month and three months （P〈0.05）. The incidence of complications including catheter phlebitis and catheter blockage in the experimental group was lower than that in the control group in three months （P〈0.05）. Conclusion： The standardized telephone follow-up played a significant role in PICC care of cancer patients, improved patients＇ PICC self-management abilities and satisfaction towards catheter care, and reduced the incidence of catheter complications. Therefore, it could protect the safety of patients with catheter, reflecting the continuity of our quality care.