长期留置PICC肿瘤化疗患者生活质量的影响因素调查

Survey on influence of the long term indwelling PICC on the quality of life of cancer chemotherapy patients

目的探讨PICC长期留置对肿瘤化疗患者生活质量的影响，提出针对性的干预建议。方法自行设计量表，对180例留置PICC导管1个月以上的肿瘤化疗患者进行问卷调查和面对面访谈，分析其影响因素。结果长期留置PICC患者生活质量得分从低到高依次为：居住环境（10．49±2．75）分、睡眠情况（10．99±3．28）分、社区服务条件（11．33±1．17）分、生活便利性（12．75±4．31）分、情绪状态（20．73±5．13）分；不同学历、年龄留置PICC的肿瘤化疗患者生活质量不同，差异均有统计学意义（F分别为4．090，4．286；P〈0．05）。结论PICC长期留置对肿瘤化疗患者的生活质量影响较小，不同学历、年龄对患者生活质量的影响程度不同，提示医护工作者应针对患者的具体情况及时进行干预。

Objective To investigate the influencing factors of life quality of long term indwelling PICC catheters for cancer chemotherapy patients and propose targeted intervention proposal. Methods Used self- designed questionnaire and the method of face-to-face interviews to investigated 180 cancer chemotherapy patients with PICC catheters more than one month. Results The influencing factors on the quality of life of long term indwelling PICC catheters for cancer chemotherapy patients were living environment （ 10.49 ± 2.75 ）, sleep situation （ 10.99 ± 3.28 ）, community service conditions （ 11.33 ± 1.17 ）, convenience of life （ 12.75 ± 4.31 ） and emotional state （20.73 ± 5.13 ）. Univariate analysis showed that educational level and age were also the influencing factors for the patients （ F = 4. 090,4. 286, respectively; P 〈 0. 05 ）. Conclusions Long term indwelling PICC catheters are less affected the quality of life of cancer chemotherapy patients. The impact of age are different from the level of education. So, the health care workers should make targeted intervention measures of different patients.