肿瘤带管患者化疗间歇期网络健康管理平台的建立与应用  

Establishment and application of the online health management platform for cancer patients with catheter at interval of chemotherapy

作　　者：华红霞[1] 马克勤[1] 卢回芬[2] Hua Hongxia;Ma Keqin;Lu Huifen(Department of Oncology, Wuxi No.2 People＇s Hospital, Puren Hospital, Jiangstt province, Wuxi 214002, China （Hua HX, Ma KQ;Department of Internal Medicine, Wuxi No.2 People＇s Hospital, Puren Hospital, Jiangsu Province, Wuxi 214002, China （Lu HF)

机构地区：[1]江苏省无锡市第二人民医院(普仁医院)肿瘤科,214002 [2]江苏省无锡市第二人民医院(普仁医院)内科,214002

出　　处：《中华现代护理杂志》2017年第31期4041-4044,共4页Chinese Journal of Modern Nursing

摘　　要：目的 探讨网络健康管理平台在肿瘤PICC带管患者化疗间歇期的应用效果.方法 采用方便抽样法选取2016年1月—2017年2月在江苏省无锡市第二人民医院门诊维护PICC导管治疗间歇期患者120例作为研究对象,采用随机数字表法将120例PICC置管患者随机分为观察组57例和对照组63例,对照组进行常规出院宣教随访,观察组运用网络健康管理平台微信交流群、微信管理群和PICC微博论坛等管理方式进行健康跟踪管理.结果 观察组患者出现静脉炎3例（5.26%）,对照组12例（19.04%）,且严重程度低于对照组,差异有统计学意义（Z/χ2值分别为-2.171、5.199;P〈0.05）;观察组无一例发生堵管,低于对照组（χ2=3.885,P〈0.05）;观察组患者自我管理行为相关知识、监测行为、心理信念3个维度及总分均高于对照组,差异有统计学意义（P〈0.05）.结论 PICC网络医疗管理平台使化疗间歇期更加科学规范,有效提高患者院外导管自我管理能力.Objective To explore the effects of the online health management platform on cancer patients with peripherally inserted central catheter （PICC） at interval of chemotherapy. Methods Totally 120 patients at interval of chemotherapy who received PICC maintenance in the Section for Outpatients, Wuxi No.2 People＆#39;s Hospital between January 2016 and February 2017 were selected by convenience sampling, and divided into an observation group （57 patients） and a control group （63 patients） according to the random number table. Patients in the control group received conventional health education and follow-up visits after being discharged, while patients in the observation group received health tracking management with communication and management groups on WeChat, PICC blog and BBS integrated in the online health management platform. Results Totally 3 patients in the observation group （5.26%） and 12 patients in the control group （19.04%） showed phlebitis, and the patients in the observation group showed lower severity than the patients in the control group （Z/χ2=-2.171, 5.199; P〈0.05）. No patients in the observation group showed obstruction, lower than the patients in the control group （χ2=3.885, P〈0.05）. The patients in the observation group showed higher scores in knowledge related to self-care, monitoring behavior and psychological belief as well as a total score than the patients in the control group （P〈0.05）. Conclusions The PICC online medical management platform makes intervals of chemotherapy more scientific and standardized, and effectively enhances patients＆#39; ability to manage catheter by themselves outside hospital.

关 键 词：肿瘤 化疗间歇期 网络健康管理平台 

分 类 号：R473.73[医药卫生—护理学]