以照护者为中心的赋能教育对恶性血液病儿童经外周静脉置入中心静脉导管维护质量的影响

Effect of caregiver centered empowerment education on the quality of maintenance of peripherally inserted central venous catheter in children with malignant hematological disease

目的分析以照护者为中心的赋能教育对恶性血液病儿童经外周静脉置入中心静脉导管(PICC)维护质量的影响。方法选取苏州大学附属儿童医院血液科2021年1月至2023年6月收治的60例恶性血液病患儿,采用信封法分为两组,各30例。对照组实施传统血液科护理,观察组实施以照护者为中心的赋能教育,比较两组PICC维护质量。结果观察组并发症总发生率低于对照组(P<0.05);护理后观察组PICC维护依从性评分(更换接头、冲封管、更换贴膜)与生活质量评分均优于对照组(P<0.05)。结论以照护者为中心的赋能教育能够提升恶性血液病儿童PICC维护质量,值得推广。

Objective To analyze the effect of caregiver centered empowerment education on the maintenance quality of peripherally inserted central venous catheter(PICC)in children with malignant hematological disease.Methods A total of 60 children with malignant hematological disease admitted to the Department of Hematology,Children's Hospital of Soochow University from January 2021 to June 2023 were selected and divided into two groups by envelope method,with 30 cases in each group.The control group was given traditional nursing in department of hematology,and the observation group was given caregiver centered empowerment education.The PICC maintenance quality was compared between the two groups.Results The total incidence of complications in the observation group was lower than that in the control group(P<0.05).After nursing,the PICC maintenance compliance score(replacement of joint,flushing of tube,replacement of film)and quality of life score of the observation group were better than those of the control group(P<0.05).Conclusion Caregiver centered empowerment education can improve the quality of PICC maintenance in children with malignant hematological disease,which is worthy of promotion.