自我效能干预对化疗间歇期门诊PICC携带者心理弹性及社会支持的影响

Effects of self-efficacy intervention on psychological resilience and social support of PICC carriers during chemotherapeutic intermission

[目的]探讨自我效能干预对化疗间歇期门诊经外周静脉置入中心静脉导管(PICC)携带者自我效能、心理弹性、社会支持的影响。[方法]采用方便抽样法抽取2017年5月1日—2017年10月1日在化疗间歇期携带PICC回家并每隔7 d在某三级甲等医院PICC门诊进行PICC维护的肿瘤病人149例。采用随机数字表法分为干预组75例和对照组74例,干预组予以自我效能理论为基础结合微信公众平台的综合干预,对照组给予门诊健康教育。采用一般自我效能量表(GSES)、心理弹性量表简化版(CD-RISC)、社会支持评定量表(SSRS)评价两组病人干预前、干预4周时、干预12周时的干预效果。[结果]最终138例完成本研究,失访率为7.38%,其中对照组68例,干预组70例。两组病人GSES、CD-RISC10、SSRS得分的干预效应和时间效应比较差异均有统计学意义(P<0.05),且两组病人GSES得分的干预因素与时间因素存在交互效应。[结论]自我效能干预可以提高化疗间歇期门诊PICC携带者的自我效能、心理弹性及社会支持,提高PICC携带者的带管效果。

Objective:To explore the effects of self-efficacy intervention on psychological resilience and social support of peripherally inserted central catheter(PICC)carriers during chemotherapeutic intermission.Methods:Using the convenient sampling method,one hundred and forty-nine cancer patients who took PICC at home during the intermission of chemotherapy and performed PICC maintenance at a PICC clinic in 3-level first-class hospital every 7 days from May 1,2017 to October 1,2017 were recruited.Using random number table method,patients were divided into intervention group(n=75)and control group(n=74).The patients in intervention group were adopted a comprehensive intervention based on the self-efficacy theory and the WeChat public platform.The patients in the control group were given outpatient health education.The General Self-Efficacy Scale(GSES),Connor-Davidson resilience scale(CD-RISC)and the Social Support Rating Scale(SSRS)were used to evaluate the intervention effects of patients at baseline,at 4 weeks and 12 weeks.Results:A total of 138 patients completed the study,including 68 patients in the control group and 70 patients in the intervention group,and the rate of loss to follow-up was 7.38%.There were significant differences in the the time-effect and inter-group effects between the scores of GSES,CD-RISC 10,SSRS between two groups(P<0.05).There was an interaction between the intervention factors and the time factor in the GSES scores of the two groups of patients.Conclusion:Self-efficacy intervention can improve the self-efficacy,psychological resilience and social support of PICC carriers during chemotherapeutic intermission,and improve the tube-carrying effect of PICC carriers.