“医护一体化”对肿瘤患者PICC置管率及居家维护依从性的影响  

“Medical integration” improves PICC catheter rate and maintenance compliance of tumor patients

作　　者：魏敏[1] 王艳军[1] 吕春香[1] 李冬[1] 于伟[1] WEI Min;WANG Yanjun;LYU Chunxiang;LI Dong;YU Wei(Second Hospital of Jilin University,Changchun 130041,China)

机构地区：[1]吉林大学第二医院,长春130041

出　　处：《长春中医药大学学报》2018年第4期765-767,共3页Journal of Changchun University of Chinese Medicine

基　　金：吉林省卫生厅科研课题(2008S005)

摘　　要：目的探讨"医护一体化"模式对妇科肿瘤患者PICC置管率及居家维护依从性的影响。方法将160例妇科肿瘤行首次化疗患者随机分为对照组和观察组,各80例,对照组以传统护理模式由护理人员在患者行化疗前给予常规的健康宣教;观察组以"医护一体化"模式由医护人员共同参与患者化疗前的健康宣教、置管后的健康宣教、居家维护的健康宣教及出现并发症后处理;观察2组置管率、居家维护的依从性、带管期间并发症发生情况。结果观察组PICC置管率、居家维护的依从性明显高于对照组,观察组并发症发生率明显低于对照组(P<0.05)。结论 "医护一体化"模式能有效提高妇科肿瘤患者PICC置管率、居家维护依从性、降低带管期间并发症发生率。Objective To explore the effect of ＂medical integration＂ mode on PICC catheter rate and maintenance compliance of gynecological tumor patients. Methods 160 cases of gynecologic tumor line first chemotherapy patients were randomly divided into control group and observation group, 80 cases in the control group with traditional nursing mode by the nursing staff in patients before chemotherapy given routine health education; Observation group with ＂medical integration＂ model with participation chemotherapy in patients with medical staff, health education before and after catheter health mission, home maintenance, health education and complications after processing; To observe the incidence of catheterization in the two groups of patients, the compliance of the maintenance of the home, and the complications during the catheter. Results In the observation group, the compliance of PICC catheter rate and home maintenance was significantly higher than that in the control group, and the incidence of complications in the observation group was significantly lower than that in the control group（P〈0.05）. Conclusion The ＂medical integration＂ model can effectively improve the rate of PICC catheterization in gynecologic oncology patients, the compliance of home maintenance compliance, and reduce the incidence of complications during the period of catheterization.

关 键 词：医护一体化 妇科 肿瘤 PICC 

分 类 号：R473.5[医药卫生—护理学]