叙事护理联合结合思维导图的循证护理在PICC置管肿瘤患者护理中的应用效果

Application Effect of Narrative Nursing Combined with Evidence-based Nursing of Mind Mapping in Nursing Care of Tumor Patients with PICC Cathetering

目的:探讨叙事护理联合结合思维导图的循证护理对经外周静脉穿刺的中心静脉导管(peripherally inserted central catheters,PICC)置管肿瘤患者的影响。方法:选择2022年1—12月龙岩市第二医院肿瘤内科收治的122例PICC置管肿瘤患者作为研究对象,随机分为护理组和对照组,各61例。对照组采用常规护理,护理组在常规护理基础上给予叙事护理联合结合思维导图的循证护理。比较两组护理依从性、并发症发生率、护理满意度、心理状况、PICC自我管理能力。结果:护理组护理总依从率、总满意度均明显高于对照组,并发症总发生率低于对照组,差异均有统计学意义(P<0.05)。干预后,护理组焦虑自评量表(self-rating anxiety scale,SAS)评分明显低于干预前及对照组,差异均有统计学意义(P<0.05)。干预后,护理组肿瘤患者PICC自我管理能力量表(the cancer patient PICC scale of self-management,CPPSM)中日常生活管理、躯体活动能力、导管维护依从性、导管管理信心、健康责任意识评分及总分均高于干预前及对照组,差异均有统计学意义(P<0.05)。结论:叙事护理联合结合思维导图的循证护理应用于PICC置管肿瘤患者取得了良好的应用效果,有利于提升患者的依从性、满意度和生活质量,具有较好的临床应用价值。

Objective:To explore the effect of narrative nursing combined with evidence-based nursing of mind mapping on tumor patients with peripherally inserted central catheters(PICC)cathetering.Method:A total of 122 tumor patients with PICC catheterized admitted to the Department of Oncology of the Second Hospital of Longyan from January to December 2022 were selected as the study objects and randomly divided into nursing group and control group,with 61 patients in each group.The control group received routine nursing,and the nursing group received narrative nursing combined with mind mapping evidence-based nursing on the basis of routine nursing.Nursing compliance,complication rate,nursing satisfaction,psychological status and PICC self-management ability were compared between the two groups.Result:The total compliance rate and total satisfaction rate of the nursing group were significantly higher than those of the control group,and the total incidence of complications was lower than that of the control group,the differences were statistically significant(P<0.05).After intervention,the self-rating anxiety scale(SAS)score of the nursing group was significantly lower than that before intervention and that of the control group,the differences were statistically significant(P<0.05).After intervention,the daily life management,physical activity ability,catheter maintenance compliance,catheter management confidence and health responsibility awareness score and total score of the cancer patient PICC scale of self-management(CPPSM)in the nursing group were higher than those before intervention and those in the control group,the differences were statistically significant(P<0.05).Conclusion:The application of narrative nursing combined with evidence-based nursing combined with mind mapping in tumor patients with PICC cathetering has achieved good application effect,which is conducive to improving the compliance,statisfaction and quality of life of patients,and has good clinical application value.