Objective:To analyze the effects of continuous self-management education on the selfcare ability and health behavior of patients with tumor through peripherally inserted central venous catheters(PICC).Methods:The peri...Objective:To analyze the effects of continuous self-management education on the selfcare ability and health behavior of patients with tumor through peripherally inserted central venous catheters(PICC).Methods:The period from August 2018 to August 2020 was used as the research time range,and the random number table method was used as the basis for grouping.80 patients with malignant tumors who regularly performed fixed catheter maintenance care in the PICC clinic of our hospital were admitted in the experimental group(given PICC specialist nursing,and implemented continuous self-management education),and 80 patients with PICC tube malignant tumors discharged from the superior hospital during this time range served as the control group(return to the original catheterization hospital from time to time or perform catheter maintenance care in the nursing clinic of our hospital).The self-care ability scores,health behavior scores,and complications during intubation between both groups were analyzed.Results:(1)There was no significant difference in self-care ability score and healthy behavior score between groups before the intervention,P>0.05;the self-care ability score and health behavior score of the research group were better than the control group after intervention,P<0.05;(2)After investigation,the incidence of complications in the research group(2.50%)was lower than that of the control group(10.00%),but there was no difference between the groups,P>0.05.Conclusion:Continuous self-management education has good effects on improving the self-care ability of tumor patients with PICC intubation.It can urge patients to maintain good health behaviors and reduce complications.It is worthy of promotion.展开更多
目的分析正中开胸心脏瓣膜置换患者应用基于健康行为改变整合理论(integrated theory of health behavior change,ITHBC)健康教育的效果。方法选取2022年7月—2023年6月广西壮族自治区人民医院收治的正中开胸心脏瓣膜置换患者120例,将...目的分析正中开胸心脏瓣膜置换患者应用基于健康行为改变整合理论(integrated theory of health behavior change,ITHBC)健康教育的效果。方法选取2022年7月—2023年6月广西壮族自治区人民医院收治的正中开胸心脏瓣膜置换患者120例,将其根据不同健康教育方式分为对照组(60例,常规健康教育)与观察组(60例,常规健康教育+基于ITHBC理论的健康教育)。2组均干预4个月。比较2组护理的依从性、满意度(干预后),干预前后心理状态、生活质量、自我管理能力。结果观察组各项指标依从率(合理饮食96.67%、定期复诊95.00%、作息规律96.67%、情绪稳定98.33%、按医嘱用药96.67%)均高于对照组(合理饮食86.67%、定期复诊83.33%、作息规律85.00%、情绪稳定86.67%、按医嘱用药86.67%)(P<0.05)。干预后,观察组满意度高于对照组(P<0.05)。相较于干预前,2组干预后的焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)评分、生活质量各项评分降低,且组间进行对比,观察组较低(P<0.05)。干预后,2组自我管理能力各项评分均升高,且观察组较对照组低(P<0.05)。结论正中开胸心脏瓣膜置换患者应用基于ITHBC理论的健康教育,可有助于提高患者依从性,改善生活质量,增强自我管理能力,消除不良情绪,进而获得患者认可,且有助于为临床改善正中开胸心脏瓣膜置换患者预后提供参考及依据。展开更多
文摘Objective:To analyze the effects of continuous self-management education on the selfcare ability and health behavior of patients with tumor through peripherally inserted central venous catheters(PICC).Methods:The period from August 2018 to August 2020 was used as the research time range,and the random number table method was used as the basis for grouping.80 patients with malignant tumors who regularly performed fixed catheter maintenance care in the PICC clinic of our hospital were admitted in the experimental group(given PICC specialist nursing,and implemented continuous self-management education),and 80 patients with PICC tube malignant tumors discharged from the superior hospital during this time range served as the control group(return to the original catheterization hospital from time to time or perform catheter maintenance care in the nursing clinic of our hospital).The self-care ability scores,health behavior scores,and complications during intubation between both groups were analyzed.Results:(1)There was no significant difference in self-care ability score and healthy behavior score between groups before the intervention,P>0.05;the self-care ability score and health behavior score of the research group were better than the control group after intervention,P<0.05;(2)After investigation,the incidence of complications in the research group(2.50%)was lower than that of the control group(10.00%),but there was no difference between the groups,P>0.05.Conclusion:Continuous self-management education has good effects on improving the self-care ability of tumor patients with PICC intubation.It can urge patients to maintain good health behaviors and reduce complications.It is worthy of promotion.
文摘目的分析正中开胸心脏瓣膜置换患者应用基于健康行为改变整合理论(integrated theory of health behavior change,ITHBC)健康教育的效果。方法选取2022年7月—2023年6月广西壮族自治区人民医院收治的正中开胸心脏瓣膜置换患者120例,将其根据不同健康教育方式分为对照组(60例,常规健康教育)与观察组(60例,常规健康教育+基于ITHBC理论的健康教育)。2组均干预4个月。比较2组护理的依从性、满意度(干预后),干预前后心理状态、生活质量、自我管理能力。结果观察组各项指标依从率(合理饮食96.67%、定期复诊95.00%、作息规律96.67%、情绪稳定98.33%、按医嘱用药96.67%)均高于对照组(合理饮食86.67%、定期复诊83.33%、作息规律85.00%、情绪稳定86.67%、按医嘱用药86.67%)(P<0.05)。干预后,观察组满意度高于对照组(P<0.05)。相较于干预前,2组干预后的焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)评分、生活质量各项评分降低,且组间进行对比,观察组较低(P<0.05)。干预后,2组自我管理能力各项评分均升高,且观察组较对照组低(P<0.05)。结论正中开胸心脏瓣膜置换患者应用基于ITHBC理论的健康教育,可有助于提高患者依从性,改善生活质量,增强自我管理能力,消除不良情绪,进而获得患者认可,且有助于为临床改善正中开胸心脏瓣膜置换患者预后提供参考及依据。
