同伴教育对肿瘤PICC带管患者自我管理能力和并发症的影响

Effect of peer education on self-management ability and complications of cancer patients with PICC

目的探讨同伴教育对肿瘤经外周植入中心静脉导管(peripherally inserted central catheter,PICC)带管患者自我管理能力和并发症的影响,为提高肿瘤患者PICC留置期间自我护理水平提供方向和参考依据。方法采用便利抽样选取我科肿瘤PICC带管患者90例,按患者意愿分为对照组和观察组,对照组患者间歇期出院时进行常规出院指导;观察组在对照组基础上给予同伴教育,随访3个月,比较两组患者自我管理能力和并发症情况。结果置管后1个月及3个月时,观察组患者的肿瘤PICC自我管理量表各维度得分均高于对照组;观察组患者3个月内并发症发生率低于对照组;差异均有统计学意义(P<0.05)。结论同伴教育可以提高肿瘤PICC带管患者的自我管理能力,降低并发症的发生率。

Objective To evaluate the effect of peer education on self-management ability and complications in cancer patients with peripherally inserted central catheter（ PICC） so as to provide basis for improving self-care ability. Methods A total of 90 cancer patients with PICC were chosen by convenience sampling as the subjects and then divided into an observation group and a control group. The control group was given routine discharge guidance during the intermittent period. The observation group was given peer education in addition to that given to the control group. Follow up for 3 months,the self-management ability and the complications of the two groups were compared. Results After one month and three months of intervention,the scores of each dimension of the PICC self-management scale of the patients in the observation group were higher than those in the control group（ P〈0.05）. The incidence of complications in the observation group was lower within 3 months than the control group（ P〈0.05）. Conclusions Peer education can improve the selfmanagement ability and reduce the incidence of complications of cancer patients with PICC.