脑梗塞患者经外周静脉置入中心静脉导管知信行现状调查及影响因素分析  

KABP Investigation of PICC of the Patients with Cerebral Infarction and Analysis on the Influencing Factors

作　　者：苗凤茹[1] 王桂华[1] 刘雪芳[1] 

机构地区：[1]航天中心医院,北京100049

出　　处：《西部中医药》2017年第9期82-85,共4页Western Journal of Traditional Chinese Medicine

摘　　要：目的:探讨脑梗塞患者经外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)的知信行现状调查及影响因素,为健康教育提供理论依据。方法:选择行PICC的316例脑梗塞患者进行知信行现状调查,并分析其影响因素。结果:共发放调查问卷316份,回收有效问卷316份,有效回收率为100%。316例脑梗塞PICC患者中男性182例,女性134例,知信行平均得分为(64.67±6.73)分,其中知识(9.17±0.83)分,态度(30.84±4.73)分,行为(24.66±4.47)分。单因素分析显示,PICC位置和性别对脑梗塞PICC患者的维护行为存在影响,文化水平对PICC患者知识存在影响,合并慢性病对脑梗塞PICC患者的态度存在影响,差异有统计学意义(P<0.05)。进一步多元回归分析显示,文化水平对脑梗塞PICC患者相关知识有影响(β=0.136),患者文化程度越高,知识得分越高;性别对脑梗塞PICC患者维护行为有影响(β=-0.103),行为得分女性患者较男性高,差异有统计学意义(P<0.05)。结论:脑梗塞PICC患者总体的知信行水平较高,文化程度较低;男性患者PICC知信行水平不高,应引起重视,对其进行有针对性的健康教育。Objective： To provide theoretical evidence for health education by exploring knowledge-attitudebelief-practice（KABP） investigation and the influencing factors of peripherally inserted central catheter（PICC） of the patients with cerebral infarction. Methods： All 316 patients with cerebral infarction who accepted PICC were chosen to perform KABP investigation, and the influencing factors were analyzed. Results： Altogether 316 pieces of questionnaires were issued, 316 effective questionnaires were reclaimed and effective reclaim rate reached 100%.There were 182 male patients and 134 female ones, average KABP scales were（64.67±6.73）, among them, the knowledge（9.17±0.83）, attitude（30.84±4.73） and practice（24.66±4.47）. Single factor showed that the site of PICC and the gender showed the influence on maintenance behavior, educational level affected the knowledge of PICC patients, complications of chronic disease affected the attitude of PICC patients, and the difference had statistical meaning（P〈0.05）. Multiple regression analysis further demonstrated that educational level affected the related knowledge of PICC patients（β=0.136）, the higher educational level was, the higher knowledge scales were, the gender affected maintenance behavior of PICC patients（β=-0.103）, female patients were higher than male patients in behavioral scales, and the difference had statistical meaning（P 0.05）. Conclusion： Global KABP levels of the patients with cerebral infarction who accepted PICC are higher while educational level is lower, since the KABP levels of the male patients with cerebral infarction who accepted PICC are not high, we should pay attention to the problem and they should be given corresponding health education.

关 键 词：脑梗塞 PICC 知信行水平 现状调查 影响因素 健康教育 

分 类 号：R446[医药卫生—诊断学]