分阶段健康教育路径单在PICC置管患者中的应用效果研究  

The effects of the application of grading health education path for the patients with PICC catheter

作　　者：李黎[1] 张燕[1] 陈月香[2] 

机构地区：[1]江苏省常州市第一人民医院血液科,213003 [2]江苏省常州市第一人民医院心内科,213003

出　　处：《中国实用护理杂志》2018年第1期38-41,共4页Chinese Journal of Practical Nursing

摘　　要：目的探讨血液科行PICC置管患者实施分阶段健康教育路径单干预的效果。方法选取2016年3—10月血液科101例行PICC置管术的患者，按病区不同护理组分为研究组50例和对照组51例，对照组采用传统的健康教育方式，研究组实施分阶段健康教育路径单模式，比较2组干预后对疾病相关知识及PICC导管维护知识的掌握度，对健康教育的满意度及导管相关并发症的发生率。结果患者对疾病相关知识及PICC导管维护知识的掌握度得分：研究组80—100分，中位数95分，平均秩次76．38，对照组30—80分，中位数50分，平均秩次26．12，研究组显著高于对照组（χ^2=76．618，P〈0．01）。满意度得分：研究组70～100分，中位数100分，平均秩次73．80，对照组：30—100分，中位数70分，平均秩次28．65，研究组显著高于对照组，差异有统计学意义（χ^2=63．364，P〈0．01）。研究组导管相关并发症发生率为2．00（1／50），对照组为15．69（8／51），2组比较差异有统计学意义（χ^2=4．262，P〈0．05）。结论运用分阶段健康教育路径单模式对PICC置管患者进行健康教育，可明显提高患者对PICC置管维护知识及健康教育方式的满意度，同时能降低导管相关的并发症发生率。Objective To explore the effects of the application of grading health education path for the patients with PICC catheter in hematology department. Methods From March to October 2016, a total of 101 patients with PICC catheter in hematology department were recruited and randomly divided into the experimental group （50 cases） and the control group （51 cases） according to different nursing groups. The control group was implemented traditional health education mode while the experimental group was implemented health education path in stages. The disease related knowledge and the PICC catheter maintenance knowledge, satisfaction of health education and the incidence of catheter related complications after intervention between the two groups were compared. Results About the PICC catheter maintenance knowledge, the experimental group got scores ： 80- 100, a median of 95, a rank 76.38 on average, while the control group： 30-80, a median of 50, the average rank 26.12, which indicated statistical significance （χ^2=76.618, P〈0.01）. Satisfaction scores： the experimental group got scores： 70- 100, a median of 100, a rank 73.80 on average, the control group： 30-100, a median of 70, the average rank 28.65, the experimental group was significantly higher than the control group （χ^2=63.364, P 〈 0.01）. For the catheter-related complications, the experimental group was 2.00% （1/50）, while 15.69% （8/51） in the control group, there was statistically significant （χ^2=4.262, P 〈 0.05）. Conclusions Implementing the grading health education path for patients with PICC catheter can obviously improve the patients of PICC catheter maintenance knowledge and satisfaction with respect to the manner of health education, at the same time can reduce the related complications of catheter.

关 键 词：导管插入术 中心静脉 临床护理路径 健康教育 

分 类 号：R473[医药卫生—护理学]