基于联合媒介平台的功能锻炼保健操应用于行PICC置管的肿瘤化疗患者中的效果

Effect of functional exercise aerobics based on a combined media platform for tumor patients undergoing chemotherapy and PICC catheterization

目的探讨基于联合媒介平台的功能锻炼保健操应用于行经外周静脉置入中心静脉导管(PICC)的肿瘤化疗患者中的效果。方法选择2018年12月至2019年12月本院收治的行PICC置管的肿瘤化疗患者180例,按随机数字表法分为对照组和观察组,各90例。对照组实施常规锻炼干预,观察组实施基于联合媒介平台的功能锻炼保健操干预。对比两组干预前后自我管理能力、一般自我效能、置管并发症发生率及患者满意度。结果观察组干预3个月后日常导管观察、导管管理信心、维护依从性、信息获取、带管日常生活、带管运动、导管异常情况处理评分和总分分别为(30.96±2.18)分、(21.41±1.27)分、(21.17±1.25)分、(12.17±0.90)分、(31.01±2.03)分、(18.01±0.89)分、(17.28±1.01)分、(149.02±7.01)分,均高于对照组的(25.58±1.92)分、(17.96±1.89)分、(17.02±1.04)分、(9.01±0.83)分、(24.99±2.14)分、(14.11±0.94)分、(13.09±0.97)分、(120.39±6.84)分(均P<0.05);观察组干预3个月后一般自我效能评分为(27.93±3.22)分,高于对照组的(17.14±2.65)分(P<0.05);观察组置管总并发症发生率6.67%(6/90),低于对照组的22.22%(20/90)(P<0.05);观察组患者满意度为97.78%(88/90),优于对照组的83.33(75/90)(P<0.05)。结论基于联合媒介平台的功能锻炼保健操应用于PICC置管的肿瘤化疗患者可提升其自我管理能力,增强一般自我效能,减少置管并发症的发生,提高患者满意度,值得推广。

Objective To explore the effect of functional exercise aerobics based on a combined media platform for patients undergoing tumor chemotherapy and central venous catheter(PICC)placement via peripheral vein.Methods From December,2018 to December,2019,180 patients taking tumor chemotherapy who underwent PICC catheterization at our hospital were selected and divided into a control group and an observation group by the random number table method,with 90 cases in each group.The control group did routine exercise,and the observation group functional exercise aerobics based on a combined media platform.The self-management abilities,general self-efficacies,incidences of catheter complications,and patient satisfaction before and after the intervention were compared between the two groups.Results After 3 months'intervention,the scores of daily catheter observation,catheter management confidence,maintenance compliance,information acquisition,daily life with a tube,exercise with a tube,and handling catheter abnormalities and the total score were higher in the observation group than in the control group[(30.96±2.18)vs.(25.58±1.92),(21.41±1.27)vs.(17.96±1.89),(21.17±1.25)vs.(17.02±1.04),(12.17±0.90)vs.(9.01±0.83),(31.01±2.03)vs.(24.99±2.14),(18.01±0.89)vs.(14.11±0.94),(17.28±1.01)vs.(13.09±0.97),and(149.02±7.01)vs.(120.39±6.84);all P<0.05].The general self-efficacy score of the observation group after 3 months'intervention was higher than that of the control group[(27.93±3.22)vs.(17.14±2.65);P<0.05].The total incidence of complications in the observation group was lower than that in the control group[6.67%(6/90)vs.22.22%(20/90);P<0.05].The patient satisfaction of the observation group was higher than that of the control group[97.78%(88/90)vs.83.33(75/90);P<0.05].Conclusion Functional exercise aerobics based on a combined media platform for tumor patients undergoing chemotherapy and PICC catheterization can improve their self-management ability,general self-efficacy,and satisfaction,and reduce the incidence of catheter complications.