PICC置管对肿瘤患者舒适度影响的研究  

The impact of PICC on comfort degree of cancer patients

作　　者：金晓燕[1] 么莉[2] 尚少梅[1] 李艳云[3] 

机构地区：[1]北京大学护理学院,100191 [2]卫生部医院管理研究所护理中心 [3]北京市昌平区医院护理部

出　　处：《中国护理管理》2011年第3期58-61,共4页Chinese Nursing Management

摘　　要：目的:了解患者、护士对PICC置管肿瘤患者舒适度的认知状况,分析影响患者舒适度的因素。方法:采用美国国立卫生研究所制定的视觉模拟评分法和自行设计的调查问卷,对北京市某医院的62名护士和56名PICC置管肿瘤患者进行调查。结果:①患者自评PICC置管后舒适得分为(4.27±1.33)分,属于轻度不舒适;②护士评价患者PICC置管后舒适得分为(4.39±1.63)分,与患者自评得分无统计学差异(t=0.432,P=0.666);③患者认为影响PICC置管舒适度的最主要因素是社会因素,护士则认为是生理因素,在生理因素得分方面,两组得分差异有统计学意义(t=4.042,P<0.001)。结论:护士应正确把握影响患者舒适度的因素,有针对性地对PICC置管患者进行舒适护理,以提高患者的生活质量。Objective： To explore the understanding level of patients and nurses on the comfort degree of cancer patients with PICC, to find out the related factors of comfort degree. Methods： Fiftty-six patients with PICC and 62 nurses in one hospital of Beijing were investigated through Visual Analogue Scale（VAS） and a self-designed questionnaire. Results： ① The mean score of the understanding of patients on the comfort degree after PICC was 4.27 ± 1.33, which was mildly uncomfortable; ② The mean score of the understanding of nurses on the comfort degree after PICC was 4.39 ± 1.63. There was no significant difference between patients and nurses （t =0.432, P=0.666）; ③ The most important factors of comfort degree were social factors identified by patients and physical factors identified by nurses. The difference in physical factors between patients and nurses was significant （t = 4.042, P 0.001）. Conclusion： Nurses should correctly grasp the related factors of cancer patients＇ comfort degree with PICC, to provide targeted comfort care for the patients and to improve the quality of life of patients.

关 键 词：经外周静脉留置中心静脉导管术 舒适度 影响因素 

分 类 号：R47[医药卫生—护理学]