PICC置管期间肿瘤化疗患者自我护理能力及其影响因素分析  

Analysis of serf-care and its influencing factors in chemotherapy patients with PICC

作　　者：宋亚兰[1] 覃惠英[2] 张玲玲[1] 吴庆彩[1] 

机构地区：[1]广州医科大学附属肿瘤医院护理部,510095 [2]中山大学肿瘤防治中心,广州510060

出　　处：《中华现代护理杂志》2015年第35期4240-4245,共6页Chinese Journal of Modern Nursing

基　　金：广州医科大学青年基金项目资助（2013848）

摘　　要：目的调查肿瘤化疗患者PICC置管期间的自我护理能力，并探讨其影响因素。方法2013年10月-2014年1月采用便利抽样方法，应用一般情况调查表、自我护理能力测定量表（ESCA）、化疗不良反应程度问卷、PICC自我护理知识问卷、简式简明心境问卷（POMS-SF），对广州市2家肿瘤专科医院的88例PICC置管肿瘤化疗患者进行调查。结果最终收集有效问卷80份，肿瘤化疗患者PICC置管期间自我护理能力总分为（118．79±20．85）分，58．8％的患者处于高等水平，患者自我概念维度得分最高，为（26．28±4．90）分，健康知识水平维度得分最低，为（39．90±7．65）分。多元逐步回归分析显示，化疗疗程、情绪状态、PICC自我护理知识、家庭关系、文化程度是患者自我护理能力的主要影响因素（P〈0．05），这5个自变量所能解释的变异占54．5％。结论肿瘤化疗患者PICC置管期间自我护理能力总体处于高等水平，但患者健康知识水平有待进一步提高。在临床工作中，护理人员应根据患者不同的个性特征采取针对性的护理措施，同时应重视患者心理状态的调试及PICC相关知识的提高。Objective To investigate the self-care and its influencing factors in chemotherapy patients with PICC. Methods A total of 88 chemotherapy patients with PICC were recruited by convenience sampling from October 2013 to January 2014 in two cancer specialty hospitals in Guangzhou. Patients were investigated by the general situation questionnaire, exercise of self-care agency scale （ESCA）, the degree of adverse reactions to chemotherapy questionnaire, the questionnaire of PICC self-care knowledge and profile of mood state-short form （POMS-SF）. Results A total of 80 valid questionnaires were collected finally. The total score of self-care agency among chemotherapy patients with PICC was （ 118.79 ± 20.85）, and 58.8% patients were at advanced level. The score of dimension of ＂self-concept＂ （26.28 ± 4.90 ） was the highest while ＂health knowledge＂ （39.90 ± 7.65 ） was the lowest. Multiple regression analysis showed that chemotherapy regimen, emotional state, the self-care knowledge of PICC, family relationships, education level were the main influencing factors in patients＇ self-care （P 〈 0.05 ）, and the variation which can be explained by the five independent variables accounted for 54. 5%. Conclusions Though the self-care of the chemotherapy patients with PICC is at advanced level, the patients＇ health knowledge should be improved. Nursing staff should adopt individual nursing according to patients＇ personal characteristics along with paying more attention to the adjustment of patients＇ mental state and improving of knowledge related to PICC in the clinical work.

关 键 词：PICC 化学疗法 肿瘤患者 自我护理 影响因素 

分 类 号：R473.73[医药卫生—护理学]