互联网+居家照护平台在肿瘤患者PICC导管延续护理中的应用

Effects of Internet + home care platform on continued nursing care for peripherally inserted central catheterization in cancer patients

目的探讨互联网+居家照护平台在肿瘤患者PICC导管延续护理中的应用效果。方法采用便利抽样法,选取2017年3—12月在湖南省人民医院住院的173例行PICC置管的肿瘤患者,分为对照组和居家组,其中对照组92例,居家组81例。对照组予常规延续护理服务,居家组通过关注互联网微信公众号构建的居家照护平台予以包括护士上门导管维护、个性化健康教育等延续护理服务。比较两组患者自置管至拔管期间导管维护例数和频次、患者PICC日常维护知识水平及PICC导管相关并发症发生率。结果居家组总体并发症发生率低于对照组,差异有统计学意义(χ2=5.210,P<0.05);居家组导管维护缺失例数和频次低于对照组,PICC家庭日常维护知识水平高于对照组,差异有统计学意义(P<0.05)。结论基于互联网+居家照护平台的PICC肿瘤患者延续护理服务具有可行性、实用性,患者可以获得安全、同质、连续的居家PICC延续护理服务,值得推广。

Objective To explore the effects of Internet + home care platform on continued nursing care for peripherally inserted central catheterization (PICC) in cancer patients. Methods Totally 173 cancer patients who were hospitalized and received PICC in Hu'nan People's Hospital between March and December 2017 were selected using convenient sampling and divided into the control group (n=92) and the home care group (n=81). Patients in the control group received conventional continued nursing care, while patients in the home care group received continued nursing care via the home care platform by following the WeChat account, including on-site catheter maintenance and personalized health education. The cases and frequency of catheter maintenance, patient's knowledge about daily PICC maintenance and the incidence of PICC-related complications from catheterization to catheter removal were compared between the two groups. Results The incidence rate of complications was lower in the home care group than in the control group, the difference was statistically significant (χ2=5.210, P<0.05);the number and frequency of missing catheter maintenance in the home care group were lower than that of the control group, while the knowledge levels about daily PICC maintenance at home in the home care group were higher than those of the control group, and the differences were all statistically significant (P<0.05). Conclusions Continued nursing care based on the Internet + home care platform for cancer patients receiving PICC is practical and feasible, and patients can enjoy safe, homogeneous and continued PICC nursing care at home. Therefore, it is worth promoting in clinical practice.