预见性护理在妇科肿瘤PICC置管化疗患者中的应用效果

Application effects of predictive nursing in patients with gynecological tumors undergoing chemotherapy with PICC catheterization

目的:观察预见性护理在妇科肿瘤经外周静脉穿刺的中心静脉导管(PICC)置管化疗患者中的应用效果。方法:回顾性分析2020年12月至2022年12月该院收治的100例妇科肿瘤PICC置管化疗患者的临床资料,依据不同护理方案将其分为对照组与观察组各50例。对照组采用常规护理,观察组在对照组基础上采用预见性护理。比较两组并发症发生率,护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、自我护理能力[自我护理能力量表(ESCA)]评分和生命质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]评分,以及护理满意度。结果:观察组并发症发生率为10.00%(5/50),低于对照组的26.00%(13/50),差异有统计学意义(P<0.05);护理后,两组SDS、SAS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组ESCA评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组EORTC QLQ-C30评分均低于护理前,且观察组低对照组,差异有统计学意义(P<0.05);观察组护理满意度为96.00%(48/50),高于对照组的80.00%(40/50),差异有统计学意义(P<0.05)。结论:在常规护理基础上采用预见性护理可提高妇科肿瘤PICC置管化疗患者自我护理能力评分和护理满意度,降低负性情绪、生命质量评分和并发症发生率,其效果优于单纯常规护理。

Objective:To observe application effects of predictive nursing in patients with gynecological tumors undergoing chemotherapy with peripherally inserted central catheter(PICC)catheterization.Methods:The clinical data of 100 patients with gynecological tumors undergoing chemotherapy with PICC catheterization admitted to this hospital from December 2020 to December 2022 were retrospectively analyzed.According to different nursing schemes,they were divided into control group and observation group,50 cases in each.The control group was given routine nursing,while the observation group was given the predictive nursing on the basis of that of the control group.The incidence of complications,the negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]score,the self-care ability[exercise of self-care agency scale(ESCA)]score,and the quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)]score before and after the nursing,and nursing satisfaction were compared between the two groups.Results:The incidence of complications in the observation group was 10.00%(5/50),which was lower than 26.00%(13/50)in the control group,and the difference was statistically significant(P<0.05).After the nursing,the scores of SDS and SAS in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The ESCA scores of the two groups were higher than those before the nursing,and that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).After the nursing,the EORTC QLQ-C30 scores of the two groups were lower than those before the nursing,and that in the observation group was lower than that in the control group;and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 96.00%(48/50),which was higher than 80.00%(40/50)of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the predictive nursing can improve the self-care ability scores and the nursing satisfaction of the patients with gynecological tumors undergoing chemotherapy with PICC catheterization,and reduce the negative emotions,the quality of life scores and the incidence of complications.Moreover,it is superior to single routine nursing.