知信行健康教育模式在食管癌手术患者经外周静脉穿刺中心静脉置管护理中的应用

The application of knowledge-attitude-practice mode in peripherally inserted central catheter care in patients with esophageal surgery

目的:探讨知信行健康教育模式在食管癌手术患者经外周静脉穿刺中心静脉置管(PICC)护理中的应用及其效果分析。方法:将84例患者随机分为干预组和对照组各42例,对照组置管后行传统的健康教育模式,干预组采用知信行健康教育模式,包括健康教育、心理护理、出院前教会患者导管维护相关知识等。2组患者均随访3个化疗周期,比较2组患者导管维护依从性,导管相关并发症发生率、导管留置时间及患者对PICC置管的知信行水平。结果:干预组患者出现导管维护延迟例数与对照组差异无统计学意义(P>0.05),干预组导管维护延迟次数明显少于对照组(P<0.01);2组导管相关并发症发生率差异均无统计学意义(P>0.05);干预组导管留置时间明显长于对照组(P<0.01)。对照组知信行各维度评分均明显低于干预组(P<0.01)。结论:知信行健康教育模式应用于食管癌手术患者行PICC的护理中,提高了患者置管维护依从性,延长置管的留置时间,并提高患者的知信行水平,提高了临床护理质量。

Objective：To explore the effects of knowledge-attitude-practice （ KAP ） mode on peripherally inserted central catheter （ PICC） care in patients with esophageal surgery. Methods：Eighty-four patients were randomly divided into the control group and intervention group（42 cases in each group）. The control group and intervention group were taught using routine health education mode and KAP mode （ including health education and psychological nursing, et al ） , respectively. Two groups were followed up for 3 chemotherapy cycles. The compliance of catheter maintenance,occurrence of catheter-related complication,keeping time of catheter and KAP of PICC between two groups were compared. Results：The difference of the case of catheter maintenance delay between two groups was not statistically significant（P〉0. 05）. The number of catheter maintenance delay in intervention group was significantly less than that in control group（P〈0. 01）. The difference of the occurrence of complication between two groups was not statistically significant （P〉0. 05）. The time of catheter indwelling time in intervention group was significantly longer than that in control group（P〈0. 01）. The scores of KAP in control group were significantly lower than those in intervention group（P〈0. 01）. Conclusions：The application of KAP mode in PICC patients with esophageal surgery can improve the compliance of patients,extend the catheter indwelling time, increase the knowledge of KAP and clinical nursing quality.