激励式心理护理联合赋能教育对妇科恶性肿瘤PICC置管患者负面情绪及自我管理能力的影响

Effects of incentive psychological nursing combined with empowerment education on negative emotions and self-management ability in patients with gynecological malignant tumors after PICC catheterization

目的分析激励式心理护理联合赋能教育对妇科恶性肿瘤经外周静脉置入中心静脉导管(PICC)置管患者负面情绪、自我管理能力及并发症发生率的影响。方法选择2019年11月至2022年11月于复旦大学附属妇产科医院行PICC置管化疗的妇科恶性肿瘤患者93例,按照随机数字表法分成观察组(n=46)和对照组(n=47),对照组采用激励式心理护理干预,观察组在此基础上联合赋能教育干预。比较干预后两组的依从性、记录PICC置管并发症发生情况,比较干预前、后两组患者的自我管理能力、焦虑(HAMA)及抑郁(HAMD)评分。结果观察组的依从率为93.48%,高于对照组的76.60%(χ^(2)=5.182,P<0.05);干预后,观察组的日常导管观察、导管维护依从性、导管管理信心、异常情况处理、信息获取、带管运动、带管日常生活评分均高于对照组(P<0.05);干预后,观察组的HAMA、HAMD评分均低于对照组(P<0.01);干预期间,观察组PICC置管并发症发生率为13.04%,低于对照组的29.79%(χ^(2)=5.416,P<0.05)。结论妇科恶性肿瘤PICC置管患者采用激励式心理护理联合赋能教育干预效果好,可改善患者的不良情绪,提高其自我管理能力,降低并发症的发生。

Objective To explore the effects of incentive psychological nursing combined with empowerment education on negative emotions,self-management ability and incidence of complications in patients with gynecological malignant tumors after peripherally inserted central catheter(PICC)catheterization.Methods A total of 93 patients with gynecological malignant tumors undergoing chemotherapy through PICC catheterization in Obstetrics and Gynecology Hospital Affiliated to Fudan University were enrolled between November 2019 and November 2022.According to random number table method,they were divided into the observation group(n=46)and the control group(n=47).The control group received incentive psychological nursing,while observation group received additionally empowerment education.The compliance rate,the occurrence of PICC catheterizatio complications,self-management ability,the scores of Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)in the two groups were compared before and after intervention.Results The compliance rate in observation group was higher than that in control group(93.48%vs 76.60%,χ^(2)=5.182,P<0.05).After intervention,the scores of daily catheter observation,catheter maintenance compliance,catheter management confidence,abnormal situation handling,information acquisition,catheter-accompanying movement and catheter-accompanying daily life in observation group were higher than those in control group(P<0.05).After intervention,HAMA and HAMD scores of the observation group were lower than those of the control group(P<0.01).During the intervention period,the incidence of PICC catheterization complications in observation group was lower than that in control group(13.04%vs 29.79%,χ^(2)=5.416,P<0.05).Conclusion Incentive psychological nursing combined with empowerment education have a good intervention effect in patients with gynecological malignant tumors after PICC catheterization,which can improve negative emotions and self-management ability,and reduce complications.