小组分配管理模式在妇科恶性肿瘤患者留置经外周置入中心静脉导管中的应用效果

Application effect of group allocation management mode in patients with gynecological malignant tumors with indwelling peripherally inserted central venous catheter

目的研究小组分配管理模式在妇科恶性肿瘤患者留置经外周置入中心静脉导管(PICC)中的应用效果。方法选择淄博市妇幼保健院2019年1月至2022年1月收治的66例留置PICC妇科恶性肿瘤患者,采用随机数字表法分为两组,各33例。对照组采取常规护理管理,研究组采取小组分配管理模式,观察两组自我效能量表(GSES)评分、自我管理行为评分、自我护理能力量表(ESCA)评分。结果护理前两组GSES评分、自我管理行为评分、ESCA评分比较,差异无统计学意义(P>0.05)。护理结束时研究组GSES评分、自我管理行为评分、ESCA评分均高于对照组,差异有统计学意义(P<0.05)。结论妇科恶性肿瘤患者留置PICC护理期间,实施小组分配管理模式,能够提升自我管理行为,自我效能良好,同时能够改善自我护理能力。

Objective To study the application effect of group allocation management mode in patients with gynecological malignant tumors with indwelling peripherally inserted central venous catheter(PICC).Methods Altogether 66 gynecological malignant tumor patients with indwelling PICC admitted to Zibo Maternal and Child Health Hospital from January 2019 to January 2022 were selected and divided into two groups using the random number table method,with 33 cases in each group.The control group adopted routine nursing management,and the research group adopted group allocation management mode.The general self-efficacy scale(GSES)score,self-management behavior score,and exercise of self-care agency(ESCA)score were observed in both groups.Results There were no statistically significant differences in GSES score,self-management behavior score and ESCA score before nursing(P>0.05).The GSES score,self-management behavior score,and ESCA score were higher in the research group than those in the control group at the end of care,and the differences were statistically significant(P<0.05).Conclusion The implementation of group allocation management mode in patients with gynecological malignant tumors during the period of PICC can improve the self-management behavior,have good sel f-efficacy,and improve their self-care ability.