乳腺癌患者术后经外周静脉置入中心静脉导管置管上肢活动的依从性  

Compliance of breast cancer patients with postoperative peripherally inserted central catheter in upper limb motion

作　　者：谢浩芬[1] 徐琴鸿[2] 傅国英[3] 郑炯[4] 阮列敏[5] 贺亚娣 

机构地区：[1]宁波市第一医院护理部,315010 [2]宁波市第一医院肝胆外科,315010 [3]宁波市第一医院血液科,315010 [4]宁波市第一医院甲乳外科,315010 [5]宁波市第一医院心身医学科,315010

出　　处：《中华临床营养杂志》2015年第5期304-307,共4页Chinese Journal of Clinical Nutrition

基　　金：宁波市社会发展项目（2012C50018）

摘　　要：目的 通过行为研究影响乳腺癌患者术后经外周静脉置入中心静脉导管（PICC）置管上肢活动依从性的因素，制订切实可行的上肢活动方案，提高PICC置管患者上肢活动依从性。 方法 在甲乳外科选取乳腺癌术后行PICC置管化疗患者共75例进行上肢活动指导，应用戴明环方式，以计划、实施、整改、评估4个步骤进行螺旋式循环，实践2周，共完成2轮循环，评价活动方案的有效性和可行性，采用询问法评估患者上肢活动的依从性。结果 经过实践细化护理程序，完善危险因素评估表，调整宣教时间等，使被干预乳腺癌术后PICC置管患者对上肢活动重要性的认知程度和接受程度得到了提高，活动的依从性良好。结论 制订的上肢活动方案经过行动研究实践的修改及完善，能够提高患者上肢活动的依从性。Objective To investigate compliance of breast cancer patients with postoperative peripherally inserted central catheter （PICC） in terms of upper limb motion, to formulate practical plan of upper limb motion, and to improve the compliance in the patients with PICC catheter. Methods A total of 75 patients after breast cancer operation with PICC for chemotherapy were selected from Department of Thyroid and Breast Surgery for upper limb activity instructions. Plan-Do-Check-Act method was used to evaluate the feasibility and effectiveness. Two cycles were performed in two weeks. Patients compliance was assessed by the inquiry method. Results After practicing and refining nursing process, perfecting the risk assessment table, adjusting the education time, etc., the cognition and acceptance of the significance of upper limb motion were improved in the patients. The compliance of the patients to the upper limb motion instructions was satisfactory. Conclusions The upper limb motion scheme in this study was modified and perfected through application, research, and practice. This scheme could enhance the compliance of patients in terms of upper limb motion.

关 键 词：经外周静脉置入中心静脉导管 乳腺癌 依从性 

分 类 号：R473.73[医药卫生—护理学]