保护动机理论在女性恶性肿瘤患者化疗间歇期经外周静脉置入中心静脉导管带管延续护理中的应用

The Application of Protection Motivation Theory in the Continuous Nursing of PICC with Cathe-ter in the Intermittent Period of Chemotherapy for Female Malignant Tumor Patients

目的探讨基于保护动机理论延续护理干预对女性恶性肿瘤患者化疗间歇期经外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)带管的影响。方法便利抽样法选取上海市某三级甲等妇产科专科医院进行PICC置管并完成各个周期化疗的130例肿瘤患者为研究对象。根据入院先后顺序进行分组,对照组(n=65)接受常规护理,观察组(n=65)给予基于保护动机理论的延续护理模式。拔管后比较两组患者PICC自我管理能力、并发症及不良事件的发生率。结果观察组患者PICC自我管理能力各维度得分及总体得分均高于对照组,导管相关并发症发生率及不良事件的发生率均低于对照组,差异均有统计学意义(均P<0.05)。结论基于保护动机理论的延续护理模式,能有效提高女性恶性肿瘤患者化疗间歇期PICC自我管理能力、降低PICC相关并发症及不良事件的发生率,确保患者安全及留置导管安全。

Objective To explore the effect of continuous nursing intervention based on the protection mo-tivation theory on peripherally inserted central catheter(PICC)with a catheter in the intermission of chem-otherapy in female patients with a malignant tumor.Methods By convenience sampling method,130 pa-tients with PICC catheterization during the intermission of chemotherapy were selected from October 2017 to March 2019 in a tertiary obstetrics and gynecology(OB & GYN)hospital in Shanghai.They were divided into groups according to the random number table.The control group(n=65)received routine nursing,and the intervention group(n=65)was given continuous nursing based on the protection motivation theory.Af-ter extubation,PICC self-management ability,complication rate,and adverse event rate were compared be-tween the two groups.Results The scores of all dimensions and the overall scores of PICC self-manage-ment ability in the intervention group were higher than those in the control group,and the incidence of catheter-related complications and adverse events were lower than those in the control group,the differ-ences were statistically significant(all P<0.05).Conclusions The continuous nursing based on protection motivation theory can effectively improve the self management ability of PICC during the intermission of chemotherapy,reduce the incidence of complications and adverse events related to PICC,and ensure the.safety of patients and indwelling catheter.