6~12岁行PICC置管ALL患儿主要照顾者导管维护KAP及影响因素

Catheter maintenance KAP and its influencing factors among primary caregivers for 6-12 years old children with ALL undergoing PICC catheterization

目的分析6~12岁行经外周静脉置入中心静脉导管(PICC)化疗急性淋巴细胞白血病(ALL)患儿主要照顾者导管维护知信行(KAP)及影响因素。方法前瞻性选取郑州大学附属儿童医院2019年6月至2021年6月6~12岁接受PICC置管化疗ALL患儿家庭主要照顾者80例,其中男37例、女43例,年龄(33.17±3.89)岁。通过一般资料调查表与PICC KAP调查表开展调查,分析KAP水平及影响因素。计量资料两组间比较采用独立样本t检验,多组间比较采用单因素方差分析,两两组间比较采用LSD-t检验。结果KAP总分为(73.07±5.93)分,整体处于中等水平。家庭主要照顾者KAP现况与照顾者性别、文化程度、居住地、职业、医疗费用支付方法、月收入、患儿置管时间及患儿置管史等有关(均P<0.05);经多元线性回归分析显示,患儿置管史、置管时间及照顾者性别、文化程度、职业、月收入为家庭主要照顾者维护PICC的KAP现况的独立影响因素(均P<0.05)。结论6~12岁接受PICC置管化疗ALL患儿家庭主要照顾者导管维护KAP现况整体处于中等水平,并与患儿置管史、置管时间及照顾者性别、文化程度、职业、月收入有关,可针对影响因素制定干预措施以提高KAP现况。

Objective To analyze the catheter maintenance knowledge-attitude-practice(KAP)and its influencing factors in primary caregivers for 6-12 years old children who undergo perpherally inserted central catheter(PICC)chemotherapy for acute lymphoblastic leukemia(ALL).Methods A total of 80 primary family caregivers for 6-12 years old children who received PICC chemotherapy for ALL in Children's Hospital Affiliated to Zhengzhou University from June 2019 to June 2021 were prospectively selected.There were 37 males and 43 females,aged(33.17±3.89)years.The general data questionnaire and PICC KAP questionnaire were investigated,and the level of KAP and its influencing factors were analyzed.Independent sample t test was used for comparison of the measurement data between the two groups,one-way AVONA was used for comparison among multiple groups,and LSD-t test was used for pairwise comparison.Results The total score of KAP was(73.07±5.93)points,which was at the medium level as a whole.The KAP current status in the primary family caregivers was related to the caregivers'gender,educational level,residence,occupation,payment method of medical expenses,and monthly income and children's catheterization time and catheterization history(all P<0.05);multiple linear regression analysis showed that children's catheterization history and catheterization time and caregiver's gender,educational level,occupation,and monthly income were independent influencing factors of catheter maintenance KAP current status in the primary family caregivers(all P<0.05).Conclusions The KAP current status in primary family caregivers for 6-12 years old children with ALL undergoing PICC catheterization chemotherapy is at a medium level,which is related to children's catheterization history and catheterization time and caregiver's gender,educational level,occupation,and monthly income.The intervention measures can be formulated according to the influencing factors to improve the KAP status.