肿瘤患者参与PICC安全管理的效果评价

The effect of cancer patients' participation in PICC safety management on catheter complications

目的:探讨肿瘤患者参与PICC安全管理的方法。方法:将280例PICC置管肿瘤患者随机分为对照组和观察组各140例,对照组患者PICC管理由护士进行,观察组患者PICC管理为护士主导下护患共同参与。比较两组患者的自我效能水平及导管相关并发症情况。结果:观察组自我效能评分高于对照组,差异有统计学意义(t=-9.447,P<0.001);观察组患者导管脱出、局部感染发生率低于对照组,差异有统计学意义(P<0.05),两组患者机械性静脉炎、静脉血栓、导管堵塞、导管破损发生率比较,差异无统计学意义(P>0.05)。结论:以自我效能为基础的患者参与PICC安全管理的方法可降低导管相关并发症的发生。

Objective：To explore the method of encouraging cancer patients＇ participation in peripherally inserted central catheter （PICC） safety management： Methods： We divided 280 cancer patients with PICC randomly into the control group （n=140） and the study group （n=140）. The PICC in control group were managed by nurses while the study group were managed by both nurses and patients. The self-efficacy level and PICC-related complications were compared between the two groups. Results： The mean score of self-efficacy in study group was higher than that in control group （t=-9.447, P〈0.001）; The PICC-related complications incidences, including PICC slippage and local infection, were significantly lower in the study group than those in the control group （P〈0.05） and there were no significant difference of the incidences of the mechanical phlebitis, thrombosis, catheter plugged and cracked between the two groups （P〉0.05）. Conclusion： The method of patients＇ participation in PICC safety management based on self-efficacy could reduce the incidences of PICC-related complications.