基于网络平台的医护一体化延续性护理结合同伴教育在肿瘤PICC携管患者中的应用效果

Application effect of medical-care integrated continuous nursing based on network platform combined with peer education in patients with tumor PICC carrying tube

目的探讨基于网络平台的医护一体化延续性护理结合同伴教育在肿瘤经外周静脉置入中心静脉导管(PICC)携管患者中的应用效果。方法选取2020年6月至2021年6月我院收治的200例肿瘤PICC携管患者为研究对象,按照随机数字表法将其分为对照组与观察组,各100例。对照组采用常规护理干预,观察组在对照组基础上应用基于网络平台的医护一体化延续性护理结合同伴教育护理干预。比较两组的干预效果。结果干预后,观察组的自我管理能力量表(ESCA)各维度评分高于对照组(P<0.05)。干预后,观察组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组(P<0.05)。观察组的PICC携管相关并发症总发生率低于对照组(P<0.05)。结论基于网络平台的医护一体化延续性护理结合同伴教育,不仅能够提高肿瘤PICC携管患者的自护能力,调节心理状态,还能减少PICC携管相关并发症,值得推广。

Objective To explore the application effect of medical-care integrated continuous nursing based on network platform combined with peer education in patients with tumor peripherally inserted central catheter(PICC)carrying tube.Methods From June 2020 to June 2021,200 patients with tumor PICC carrying tube in our hospital were selected as the research objects.According to the random number table method,the patients were divided into control group and observation group,with 100 cases in each group.The control group was adopted with routine nursing intervention,and the observation group was adopted with medical-care integrated continuous nursing based on network platform combined with peer education nursing intervention on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the each dimension scores of Exercise of Self-Care Agency Scale(ESCA)in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)in the observation group were lower than those in the control group(P<0.05).The total incidence of PICC carrying tube related complications in the observation group was lower than that in the control group(P<0.05).Conclusion The medical-care integrated continuous nursing based on network platform combined with peer education can not only improve the self-care ability of tumor patients with tumor PICC carrying tube,regulate psychological state,but also reduce the complications related to PICC carrying tube,which is worthy of promotion.