健康教育对卵巢癌PICC患者不良情绪及导管相关并发症的影响

Effect of patient perspective-centered health education on dysphoria,self-management ability and catheter-related complications in PICC patients with ovarian cancer

目的探讨以患者视角为中心的外周中心静脉置管(PICC)健康教育在卵巢癌PICC患者中的应用。方法采用方便抽样法选择2019年5月—2021年5月98例卵巢癌PICC患者,按入院建档顺序分为对照组和实验组,每组49例。对照组实施常规健康教育,于此基础上实验组实施以患者视角为中心的PICC健康教育。评价两组干预前后正负性情绪(PANAS)、自我效能感、自我管理能力及导管相关并发症。结果干预2周、4周后实验组正性情绪评分(32.13±3.78、43.62±4.12)分高于对照组(27.22±3.24、34.35±4.42)分,负性情绪评分(34.17±3.34、20.29±2.23)分低于对照组(37.62±3.53、31.25±2.79)分(P<0.05);干预2周后两组自我效能相比,无显著差异(P>0.05);干预4周后(低等占2.04%、中等占55.10%、高等占42.86%)高于对照组(低等占16.33%、中等占63.27%、高等占20.41%)(P<0.05);干预2周、4周后实验组自我管理能力量表中导管管理信心(16.36±3.24、22.32±2.10)分、日常导管维护(17.22±2.87、21.24±3.00)分、导管维护依从性(19.69±3.24、23.20±1.63)分、异常情况处理(15.87±2.63、20.32±3.24)分均高于对照组导管管理信心(12.31±2.97、15.68±3.36)分、日常导管维护(13.96±3.45、16.33±4.12)分、导管维护依从性(16.97±4.10、19.11±2.47)分、异常情况处理(12.98±3.10、16.92±2.96)分(P<0.05);干预2周后,实验组导管相关并发症发生率2.04%与对照组12.24%相比,无显著差异(P>0.05);干预4周后,实验组导管相关并发症发生率6.12%低于对照组24.49%(P<0.05)。结论以患者视角为中心的PICC健康教育有助于调节卵巢癌PICC患者情绪,提升自我效能感,增强自我管理能力,降低导管相关并发症风险。

Objective To explore the application of centered onperipheral central venous cannulation(PICC)health educationonPICC patients with ovarian cancer.Methods A convenience sampling method was used to select 98 PICC patients with ovarian cancer from May 2019 to May 2021,and they were divided into control group and experimental group according to the order of admission and establishment,with 49 cases in each group.The control group implemented conventional health education,on the basis of which the experimental group implemented PICC health education centered on the patient′s perspective.Positive and negative affect(PANAS),self-efficacy,self-management ability and catheter-related complications were evaluated before and after the intervention in both groups.Results After 2 and 4 weeks of intervention,the positive mood scores of the experimental group(32.13±3.78,43.62±4.12)were higher than those of the control group(27.22±3.24,34.35±4.42),and the negative mood scores(34.17±3.34,20.29±2.23)were lower than those of the control group(37.62±3.53,31.25±2.79)(P<0.05).No significant difference in self-efficacy was found between the two groups after 2 weeks of intervention(P>0.05).After 4 weeks,higher were found in intervention group(2.04%low,55.10%medium,42.86%high)than that in control group(16.33%low,63.27%medium,20.41%high)(P<0.05).After 2 and 4 weeks of intervention,the scores of catheter management confidence(16.36±3.24,22.32±2.10),routine catheter maintenance(17.22±2.87,21.24±3.00),catheter maintenance compliance(19.69±3.24,23.20±1.63),and abnormal condition handling(15.87±2.63,20.32±3.24)in the self-management ability scale of the experimental group were higher than those in the control group(12.31±2.97,15.68±3.36).Routine catheter maintenance(13.96±3.45,16.33±4.12)points,catheter maintenance compliance(16.97±4.10,19.11±2.47)points,and exception handling(12.98±3.10,16.92±2.96)points(P<0.05).After 2 weeks of intervention,the incidence of catheter related complications in the experimental group was 2.04%compared with 12.24%in the control group(P>0.05).After 4 weeks of intervention,the incidence of catheter related complications in the experimental group was 6.12%lower than that in the control group(24.49%,P<0.05).Conclusion Patient perspective-centered PICC health education helps regulate the emotions of PICC patients with ovarian cancer,improve self-efficacy,enhance self-management,and reduce the risk of catheter-related complications.