肺癌PICC置管患者情绪与并发症的相关性及其干预措施  

Effect of intervention measures on the correlation between mood and complications in patients with lung cancer and PICC catheterization

作　　者：杨静[1] 郑海燕[1] 宋迪[1] YANG Jing;ZHENG Haiyan;SONG Di(The First Affiliated Hospital of Bengbu Medical College,Bengbu 233000,Chin)

机构地区：[1]蚌埠医学院第一附属医院,安徽蚌埠233000

出　　处：《包头医学院学报》2018年第5期89-91,95,共4页Journal of Baotou Medical College

摘　　要：目的:探讨肺癌PICC置管患者情绪与并发症的相关性及其干预措施。方法:选取2015年6月至2016年12月收治的80例肺癌PICC置管患者,随机分为观察组和对照组,每组各40例,观察组患者采用综合性护理措施干预,对照组患者采用常规护理方法干预,在治疗前后采取汉密尔顿抑郁量表(HAMD),汉密尔顿焦虑量表(HAMA)及Barthel指数(BI),对患者情绪及生活自理能力进行评估分析,比较两组患者护理后依从性及并发症发生率。结果:干预前肺癌PICC置管患者汉密尔顿抑郁量表评分,Barthel指数及汉密尔顿焦虑量表评分比较差异无统计学意义(P>0.05),干预后观察组及对照组患者评分均改善,且观察组相比对照组患者改善更明显(P<0.05);观察组肺癌PICC置管患者干预后依从率为87.50%,高于对照组依从率60.00%(χ~2=7.811,P<0.05);观察组患者干预后并发症发生率为17.50%,低于对照组45.00%(χ~2=7.061,P<0.05)。结论:应用综合性护理措施干预对肺癌PICC置管患者影响明显,加速患者心理及躯体康复的效果,增加患者治疗依从性,从而减少并发症发生率,值得推广应用。Objective： To investigate the effect of intervention measures on the correlation between emotion and complications in patients with lung cancer and PICC catheterization. Methods： 80 cases of lung cancer and PICC admitted from June 2015 to December 2016 were divided into two groups according to the principle of random allocation of computer digital forms. The patients in the observation group were treated with comprehensive nursing interventions,while the patients in the control group were treated with conventional methods of nursing intervention. The emotion and self-care ability in life of patients were evaluated before and after the treatment by Hamilton depression scale（ HAMD）,the Hamilton Anxiety Scale（ HAMA） and Barthel index（ BI）. The compliance and the incidence of complications in the two groups were compared after nursing care.Results： Before the intervention in lung cancer patients with PICC catheter,there was no significant difference in HAMD,HAMA and BI（ P〈0.05）. The scores of HAMD,HAMA and BI in the observation group were lower than that of the control group,with statistical significance（ P〈0.05）. The compliance rate of the patients with lung cancer and PICC catheterization in the observation group was 87. 50 %,higher than that in the control group,in which the compliance rate was 60 %,and the difference was statistically significant（ χ^2= 7. 811,P〈0. 05）. In the observation group,the incidence rate of patients with lung cancer and PICC catheterization was 17. 50 %,lower than that of the control group with the incidence rate 45 %,which was statistically significant（ χ^2= 7. 061,P〈0. 05）. Conclusion： The comprehensive nursing intervention has a significant effect on patients with lung cancer and PICC,which can accelerate patients＇ psychological and physical rehabilitation,and increase the treatment compliance of patients,thereby reducing the probability of occurrence of complications,and it is worthy of popularization and application.

关 键 词：肺癌 PICC置管 情绪 并发症 相关性 干预措施 

分 类 号：R473.73[医药卫生—护理学]