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IMB模式的护理干预对留置PICC肿瘤患者的生活质量的影响 被引量:5

Effect of IMB mode nursing intervention on quality of life of patients with indwelling PICC
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摘要 目的分析肿瘤经外周置入中心静脉导管(PICC)置管患者应用信息-动机-行为技巧模型(IMB)的护理干预对其生活质量的影响。方法选取2020年2月至2021年2月在江苏省淮安市第一人民医院进行治疗的肿瘤患者120例,采用随机数字表法将其分为对照组和实验组,每组各60例,比较两组负性心理状态、生活质量、对导管维护依从性、并发症总发生率情况。结果治疗后,两组焦虑、抑郁评分低于治疗前,且实验组低于对照组,差异有统计学意义(P<0.05);两组躯体功能、社会功能、心理功能及物质生活等生活质量评分均高于治疗前,且实验组高于对照组,差异有统计学意义(P<0.05);实验组对导管维护依从率高于对照组,差异有统计学意义(P<0.05);实验组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论在肿瘤PICC置管患者中应用IMB模式的护理干预,提高患者对置管的依从性及自我护理能力,缓解不良情绪,减少置管期间并发症的发生,提高生活质量。 Objective To analyze the effect of nursing intervention of information-motiveation-behavioral skills model(IMB)on quality of life of patients with peripherally inserted central catheter(PICC).Methods A total of 120 tumor patients treated in Huaian First People’s Hospital of Jiangsu Province from February 2020 to February 2021 were selected,they were divided into control group and experimental group by random number table method,with 60 cases in each group.Negative psychological status,quality of life,adherence to catheter maintenance and incidence of complications were compared between the two groups.Results After treatment,anxiety and depression scores of the two groups were lower than before those treatment,and the experimental group was lower than the control group,and the differences were statistically significant(P<0.05);the scores of physical function,social function,psychological function,and material life of the two groups were higher than those before treatment,and the experimental group was higher than the control group,and the differences were statistically significant(P<0.05);the adherence rate of catheter maintenance in the experimental group was higher than that in the control group,the difference was statistically significant(P<0.05);the incidence of total complications in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of IMB mode nursing intervention in patients with PICC catheterization can improve patients’compliance with catheterization and self-care ability,relieve adverse emotions,reduce the occurrence of complications during catheterization,and improve the quality of life.
作者 李欣如 周婷婷 周静 LI Xinru;ZHOU Tingting;ZHOU Jing(Department of Oncology,Huaian First People’s Hospital,Jiangsu Province,Huaian,223300,China)
出处 《中国医药导报》 CAS 2021年第33期161-164,共4页 China Medical Herald
基金 江苏省自然科学基金青年项目(BK20180291)。
关键词 信息-动机-行为技巧模型 护理干预 经外周置入中心静脉导管 肿瘤 生活质量 Information-motivation-behavioral skills model Nursing intervention Peripherally inserted central catheter Tumors Quality of life
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