摘要
目的了解肿瘤患者经外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)知信行现状并分析其影响因素。方法对2014年4月至2015年3月在四川大学华西医院肿瘤中心住院并置入PICC的650例肿瘤患者进行PICC知信行问卷调查,分析其影响因素。结果共发放650份问卷,其中有效问卷619份,其中男性258例,女性361例,年龄18~83岁,平均年龄为(51.4±12.2)岁。知信行各维度得分分别为:知识(9.28±2.04)分,态度(27.95±4.17)分,行为(25.67±4.00)分;单因素分析结果显示,有无合并其他慢性疾病(主要为糖尿病、高血压和冠心病)对患者置入PICC的态度有影响(P=0.040);性别(P=0.015)和导管置入部位(P=0.023)对患者PICC维护行为有影响。多元回归分析得出文化程度对PICC相关知识(标准偏回归系数=0.125,P=0.017)评分有影响,性别(标准偏回归系数=-0.097,P=0.024)对PICC维护行为评分有影响,即文化程度越高的患者在知识部分得分越高,女性较男性在行为部分的得分更高。结论肿瘤患者PICC知信行的总体水平较高,但男性患者、文化程度低的患者的PICC知信行水平有待进一步提高。
Objective To investigate the Knowledge-Attitude-Practice(KAP)of cancer patients with peripherally inserted central catheter(PICC)and its associated factors.Methods A cross-sectional study was undertaken in 650 cancer patients with PICC in the West China Hospital,Sichuan University,from April 2014 to March 2015.Data were collected through a self-designed questionnaire in relation to KAP and its associated factors.Results A total of 619 valid questionnaires were returned.The participants had an average score of 9.28±2.04 in knowledge,27.95±4.17 in attitude,and 25.67±4.00 in practice.Occupation was associated with catheter-related knowledge.Comorbidity(with diabetes,hypertension and coronary heart disease)was associated with catheterrelated attitudes(P=0.040).Gender(P=0.015)and catheter insertion site(P=0.023)were associated with PICC practice.The multivariable linear regression model showed that female patients(standardized partial regression coefficient =-0.097,P=0.024)and those with a higher level of education(standardized partial regression coefficient=0.125,P=0.017)had a higher score in PICC practice.Conclusion Overall,a high level of KAP was found in cancer patients with PICC.Clinical nursesshould provide personalized catheter-related education for patients according to their gender and level of education.Special attention should be paid to those with comorbidities such as diabetes mellitus,hypertension,coronary heart disease and other chronic diseases.
出处
《四川大学学报(医学版)》
CAS
CSCD
北大核心
2015年第6期871-875,共5页
Journal of Sichuan University(Medical Sciences)
基金
四川省科技厅科技支撑计划项目(No.2015SZ0155)资助