医护患协同护理模式对肿瘤患者PICC围置管期的影响

Study on the Influence of Doctor-patient Collaborative Nursing Mode on Cancer Patients with PICC in Applying Canula Period

目的:探讨医护患协同护理模式对肿瘤患者经外周静脉置入中心静脉导管(peripherlly inserted central catheter,PICC)围置管期的影响。方法:选取肿瘤患者82例,利用随机数字表法分为对照组与观察组,每组41例。对照组围置管期进行常规护理干预,观察组围置管期在对照组护理基础上运用医护患协同护理模式进行护理干预,对比分析两组围置管期护理效果。结果:置管并发症发生率和置管意外事件发生率观察组分别为4.88%(2/41)、2.44%(1/41),对照组分别为21.95%(9/41)、14.63%(6/41),观察组均显著低于对照组(P<0.05)。干预后观察组焦虑自评量表(self-rating anxiety scale,SAS)与抑郁自评量表(self-rating depression scale,SDS)评分显著低于对照组(P<0.05)。干预后观察组中文版自我护理能力测定量表(exercise of self-care agency scale,ESCA)中自我护理技能、自我护理责任感、自我概念、健康知识水平评分和生活质量综合评定量表(generic quality of life inventory-74,GQOLI-74)中物质生活、躯体功能、心理功能、社会功能、总体评价评分均显著高于对照组(P<0.05)。结论:医护患协同护理模式在肿瘤患者PICC围置管期的应用效果良好。

Objective:To explore the influence of doctor-patients collaborative nursing mode on cancer patients with PICC in applying canula period.Methods:All 82 patients were chosen and allocated to the control group and the observation group according to random number table method,41 cases each group,the control group accepted conventional nursing intervention in applying canula period,and the observation group doctorpatients collaborative nursing mode based on the therapy the control group received,to compare and analyze nursing effects in applying canula period between both groups.Results:The incidences of catheter complications and catheter accidents in the observation group were 4.88%(2/41)and 2.44%(1/41),lower than 21.95%(9/41)and 14.63%(6/41)of the control group notably(P<0.05).The observation group was lower than the control group remarkably in SAS and SDS scores after the intervention(P<0.05).The observation group was higher than the control group in the scores of self-care skills,self-care responsibility,self-concept and health education level in ESCA,the scores of material life,somatic function,psychological function,social function and total evaluation in GQOLI-74 notably(P<0.05).Conclusion:The application values of doctor-patients collaborative nursing mode are good for cancer patients with PICC in applying canula period.