延续性护理在PICC带管出院患者中的干预效果

Intervention effect of continuous nursing in the patients discharged with PICC tube

目的观察延续性护理在肿瘤患者经外周中心静脉置管(PICC)带管出院中的干预效果。方法选取2020年8月—2021年2月在云南省某三级甲等医院肿瘤内科70例PICC带管出院患者作为研究对象,按照组间基本特征具有可比性的原则分为对照组和观察组,各35例。对照组行常规护理,观察组实施延续性护理,随访2个月后对比两组患者并发症发生率、生活质量评分及护理满意程度。结果观察组并发症发生率为8.58%,低于对照组的31.43%,差异有统计学意义(P<0.05);观察组生活质量量表中生理机能、总体健康、活力、情感职能、精神健康5个维度评分高于对照组,组间比较差异具有统计学意义(P<0.05),生理职能、躯体疼痛、社会功能3个维度评分组间比较差异无统计学意义(P>0.05);观察组护理满意程度高于对照组,差异具有统计学意义(P<0.05)。结论延续性护理干预可有效降低PICC带管出院患者并发症发生率,改善其心理健康领域的生活质量,提高患者护理满意度。

Objective To observe the intervention effect of continuous nursing in the discharge of tumor patients with peripherally inserted central venous catheters(PICC)tube was as the study subject.Methods A total of 70 patients with PICC tubes discharged from the medical oncology department of a tertiary first-class hospital in Yunnan province from August 2020 to February 2021,were selected as the study objects,and they were divided into a control group and an observation group according to the principle of comparability of basic characteristics between the groups,with 35 cases in each group.The control group received routine nursing,and the observation group received continuous nursing.After 2 months offollow-up,the incidence of complications,quality of life scores and nursing satisfaction were compared between the two groups.Results The incidence of complications in the observation group was 8.58%,which was lower than 31.43% in the control group,and the difference was statistically signifi cant(P<0.05).The scores offive dimensions of physical function,general health,vitality,emotional function and mental health in the quality of life scale of the observation group were higher than those of the control group,and the differences between the groups were statistically signifi cant(P<0.05);there was no signifi cant difference in the three dimensions of physiological function,physical pain and social function between the groups(P>0.05).The nursing satisfaction in the observation group was higher than that in the control group,and the difference was statistically signifi cant(P<0.05).Conclusion The application of continuous nursing intervention can effectively reduce the incidence of complications in patients discharged with PICC tubes,improve their quality of life in the field of mental health,and improve patients’nursing satisfaction.