PICC置管患者自我管理能力及影响因素分析

Analysis on the self-management ability and impacting factors of patients with PICC intubation

目的探讨PICC置管患者自我管理能力及影响因素。方法选择2019年1—12月我院行PICC置管的患者100例为调查对象,采用PICC自我管理能力量表对患者PICC自我管理能力进行调查。根据患者得分分为>140分组与≤140分组。单因素及多因素分析PICC置管患者自我管理能力影响因素。结果 (1)100例平均得分(135.4±27.9)分。(2)单因素分析结果显示,年龄>60岁者得分>140分比例低,文化程度大专及以上、置管时间>6个月、家庭人均月收入≥5000元的患者得分>140分比例高,差异有统计学意义(P<0.05)。(3)多因素分析结果显示,年龄对患者自我管理能力呈负向影响,而文化程度、置管时间、家庭人均收入对自我管理能力呈正向影响(P<0.05)。结论 PICC置管患者整体上自我管理能力在中上等,但仍有部分患者得分偏低。文化程度、年龄、置管时间、家庭人均月收入是影响患者自我管理能力的相关因素。

Objective To investigate the self-management ability and impacting factors of patients with PICC intubation.Methods A total of 100 patients treated with PICC intubation and admitted to our hospital from January to December 2019 were selected as the respondents,and the PICC self-management ability was investigated using the PICC self-management ability scale.Patients were divided into the group of more than 140 points and the group of no more than 140 points.Univariate and multivariate analysis of impacting factors on self-management ability of patients with PICC intubation.Results①The average score of 100 patients was(135.4±27.9)points.②The results of univariate analysis showed that the proportion of patients with the age more than 60 years old who scored more than 140 points was low,while the proportion of patients with the educational level of college or above,intubation time of more than 6 months,and the family average monthly income of no less than 5,000 CNY who scored more than 140 points was high,with statistically significant differences(P<0.05).③The results of multivariate analysis showed that age had a negative effect on patients′self-management ability,while education level,intubation time and family income per capita had positive efficacies on self-management ability(P<0.05).Conclusion The overall self-management ability of patients with PICC intubation is medium and high,but some patients still have low scores.Educational level,age,intubation time and family average monthly income per capita were the related factors that affected patients′self-management ability.