摘要
目的:了解中山大学肿瘤医院门诊和住院PICC置管患者对PICC健康教育知识的知晓状况,分析其影响因素,为制定有效的PICC置管肿瘤患者的健康教育措施提供参考依据。方法:采用便利抽样的方法分别从门诊部和住院部PICC置管患者中抽取130例、120例作为研究样本;应用自行设计的PICC知识测评表评估肿瘤患者PICC健康教育知晓状况。结果:调查对象知晓度较低(66.32%),得分仅为(22.41±0.365)分;正确率较高的是"留置PICC可以减少反复穿刺的痛苦"(门诊88.5%、住院98.0%);正确率最低的是"用PICC管输液时只要固定良好,可以随意活动"(门诊36.9%、住院43.9%);多因素分析显示住院PICC置管健康教育知识知晓度比门诊高(OR值分别为2.917和1.38),导管留置时间长(OR值分别为1.454和1.986)。住院患者、导管留置时间长者,知晓率较高。结论:目前肿瘤患者PICC健康教育知识知晓的状况不容乐观,应该加强门诊患者健康教育知识宣教力度;尤其应加强置管后运动方面的知识宣传;制定统一的PICC健康教育处方;提高患者对导管自我照护依从性,发挥患者的主观能动性;多渠道宣传PICC健康教育知识。
Objective: To investigate the status of awareness of PICC- related knowledge of hospitalized cancer patients and outpatients and analyze its influencing factors in order to provide reference for taking effective measures in health education. Methods: 130 outpatients with caner and 120 hospitalized cancer patients were taken as the object of study. The self- designed evaluation form of PICC- related knowledge was used to evaluate the patients' awareness of the knowledge. Results: The survey showed the patients' awareness of the knowledge was low( 66. 32%) and the scores were 22. 41 ± 0. 365 points; the multivariate analysis showed that the awareness of the hospitalized patients was better than the outpatients( OR = 2. 917 and 1. 38) and better in the patients with indwelling catheter a little longer( OR = 1.454 and 1. 986). Conclusion: The status of awareness of PICC- related knowledge of cancer patients is not optimistic and we should strengthen the health education in outpatient department to improve the self- care compliance of the patients.
出处
《齐鲁护理杂志》
2015年第7期12-15,共4页
Journal of Qilu Nursing